Individual provider Active NPI

Suzanne Kerin Haddad, PSY.D

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1235391731
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000414 Issued in DC
Practice address
1801 Columbia Rd NW
Ste 101
Washington, DC 20009-2031
Phone
(202) 297-8162
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000414 DC Primary

Addresses

Primary practice location

1801 Columbia Rd NW
Ste 101
Washington, DC 20009-2031

Mailing address

1801 Columbia Rd NW
Ste 101
Washington, DC 20009-2031
Phone (202) 297-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001039 DC Practitioner - Clinical Psychologist 7517152499 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Columbia Rd NW
Suite 101
Washington, DC 20009-2031
Phone (202) 297-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1235391731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW",
            "address_2": "STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-297-8162",
            "fax_number": "202-280-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW",
            "address_2": "STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-297-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "SUZANNE",
        "middle_name": "KERIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.