Suzanne Holt Elliott, M.A.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

21015 Issued in WV

Practice address

136 Sullivan Rd
Glen Morgan, WV 25813-7600

Phone

(304) 256-4555

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1164515045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PIKEVIEW DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012746",
            "telephone_number": "304-252-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SULLIVAN RD",
            "city": "GLEN MORGAN",
            "state": "WV",
            "postal_code": "258137600",
            "telephone_number": "304-256-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SUZANNE",
        "middle_name": "HOLT",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "567",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WV",
            "license": "21015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164229000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prudencio C Corro, MD
• Samantha Cozart
• Regina Lynn Croto
• Ann Darby
• Virginia Ann Dodge
• Daniel Fleenor II, PHARMD
• Angel Grimmett
• Chanda Hale
• Jeanie Rae Hosler
• Rylea Grace Hosler

• School Psychologist in Glen Morgan, WV
• Providers in Glen Morgan, WV by specialty
• School Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.