Active NPI
Susan Diane Gendein-Marshall, PH.D.
- Psychologist
- Farmington Hills, MI
National Provider Identifier
1275653750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301006656
- Practice address
- 32255 Northwestern Hwy Ste 250
Farmington Hills, MI 48334-1527 - Phone
- (248) 594-3865
- NPI assigned
- Mar 30, 2007
- 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 | 6301006656 | MI | Primary |
Addresses
Primary practice location
32255 Northwestern Hwy Ste 250
Farmington Hills, MI 48334-1527
Mailing address
32255 Northwestern Hwy Ste 250
Farmington Hills, MI 48334-1527
Phone (248) 594-3865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006656 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275653750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY STE 250",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341527",
"telephone_number": "248-594-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY STE 250",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341527",
"telephone_number": "248-594-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDEIN-MARSHALL",
"first_name": "SUSAN",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301006656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.