Suzan B. Simmons, PH.D,,PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1150 Issued in OK

Legal business name

SUZAN B. SIMMONS, PH.D,,PLLC

Practice address

1916 Lake Rd
Ponca City, OK 74604-4800

Phone

(580) 761-3799

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Suzan B Simmons, PH.D.

Title

Psychologist

Phone

(580) 761-3799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suzan B. Simmons, Ph.D. Former legal business name

Locations

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1164887170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746021230",
            "telephone_number": "580-761-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 LAKE RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044800",
            "telephone_number": "580-761-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZAN B. SIMMONS, PH.D,,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "580-761-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "OKA104155",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzan B. Simmons, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sandra Joanne Suggs, RN
• Abigail Nicole Sullins
• Nora A Summitt, LPN
• Surrender to Growth LLC
• Jade Marie Suter
• Morgan Swain, LCSW
• Holly Marsha Swallow
• Gineta Gayle Swanson, M.S., C.C.C.
• Jennifer Swope
• Monica Dawn Symes, NP-C

• Counseling Psychologist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.