Individual provider Active NPI

Suzanne Mulcahy James, PSY.D.

  • Clinical Psychologist
  • Erlanger, KY
National Provider Identifier
1255353728
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1419 Issued in KY
Practice address
495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468
Phone
(859) 342-6444
Fax
(859) 342-0999
NPI assigned
Jul 24, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1419 KY Primary
Clinical Psychologist 103TC0700X PS016198 PA

Addresses

Primary practice location

495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468

Mailing address

6185 Mapleridge Dr
Taylor Mill, KY 41015-4407
Phone (502) 472-6140

Other names 1

  • Dr. Suzanne Lynn Mulcahy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070913000580 KY Practitioner - Clinical Psychologist 9436243086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 Artillery Park Dr
Unit 102
Fort Mitchell, KY 41017-2794
Phone (859) 426-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1419KYMDMental Health Counselor
PS016198PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne M. James, Psy.D., LLC Clinical CurrentSince Nov 6, 2008 Accepting new patients
Bolte Psychological Services, LLC Clinical PastSince Nov 6, 2008 Accepting new patients

Locations

495 Erlanger Rd
Ste 204
Erlanger, KY 41018
Phone (859) 342-6444

305 Artillery Park Dr
Unit 102
Ft Mitchell, KY 41017
Phone (859) 426-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1255353728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 MAPLERIDGE DR",
            "city": "TAYLOR MILL",
            "state": "KY",
            "postal_code": "410154407",
            "telephone_number": "502-472-6140",
            "fax_number": "859-342-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ERLANGER RD",
            "address_2": "SUITE 204",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181468",
            "telephone_number": "859-342-6444",
            "fax_number": "859-342-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SUZANNE",
        "middle_name": "MULCAHY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1419",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MULCAHY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.