Active NPI
Susan Homack, PH.D
- Psychologist
- Royse City, TX
National Provider Identifier
1215225479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33424
- Practice address
- 107 N Houston St
Royse City, TX 75189-8957 - Phone
- (469) 723-6007
- Fax
- (469) 723-6008
- NPI assigned
- Jul 20, 2011
- Last updated
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33424 | TX | Primary |
Addresses
Primary practice location
107 N Houston St
Royse City, TX 75189-8957
Mailing address
107 N Houston St
Royse City, TX 75189-8957
Phone (469) 723-6007
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drhomack@thesongbirdcenter.hush.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33424 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1215225479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N HOUSTON ST",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751898957",
"telephone_number": "469-723-6007",
"fax_number": "469-723-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N HOUSTON ST",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751898957",
"telephone_number": "469-723-6007",
"fax_number": "469-723-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMACK",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33424",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drhomack@thesongbirdcenter.hush.com",
"affiliation": "N",
"endpointDescription": "confidential email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "107 N Houston St",
"city": "Royse City",
"state": "TX",
"country_code": "US",
"postal_code": "751898957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Royse City, TX
- Henry Wachtendorf DDS PA (comfort care dental)
- HG Dental Associates PLLC (Royse City Dental Care)
- Ashton Hunter Hierholzer, MD
- Higher Hopes Counseling LLC
- Hisreward Healthcare LLC
- Home Sweet Home Senior Care LLC
- Hope and Empowerment PLLC
- Jenny Marie Hoscheid
- Hunt Memorial Hospital District (Hunt Regional Medical Center Royse City)
- Hunt Memorial Hospital District (Royse City Medical Lodge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.