Individual provider Active NPI

Susan ER Mitchell, PSYD

  • Psychologist
  • Exton, PA
National Provider Identifier
1275631160
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS009172L Issued in PA
Practice address
430 Exton CMNS
Exton, PA 19341-2451
Phone
(484) 887-0312
Fax
(267) 295-9905
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS009172L PA Primary

Addresses

Primary practice location

430 Exton CMNS
Exton, PA 19341-2451

Mailing address

430 Exton CMNS
Exton, PA 19341-2451
Phone (484) 887-0312

Other identifiers 1

IdentifierTypeStateIssuer
202841OtherDECOMPSYCH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Health Psychology LLC Psychologist PastSince Jul 1, 1996 Accepting new patients
Rosemary T. Hartnett, Inc. PastSince Oct 1, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1275631160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412451",
            "telephone_number": "484-887-0312",
            "fax_number": "267-295-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412451",
            "telephone_number": "484-887-0312",
            "fax_number": "267-295-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SUSAN",
        "middle_name": "ER",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009172L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "202841",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.