Susan L. Shuman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2009030855 Issued in MO

Practice address

902 Edmond St
Suite 203
Saint Joseph, MO 64501-2749

Phone

(816) 364-4300

Fax

(816) 279-8148

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Susan L. Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1245485523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "SUITE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012749",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "SUITE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012749",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2009030855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245485523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12114205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CAMPBELL",
            "middle_name": "L.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Frederick Shonkwiler, PT
• Kristopher Mitchell Short
• Lauren Ashley Short, APRN
• Poonam Shrestha
• Charles R Shuman III, M.D.
• Darci Shuster, ATC, LAT
• Sharon E. Shutts, ED.S. LPC, LCPC, NCC
• Sibyl Downing LLC
• Sibyl Downing MD LLC
• Kelly Dawn Siebert, R.PH.

• Clinical Psychologist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.