Individual provider Active NPI

Susan Epps, PHD

  • Psychologist
  • Newark, DE
National Provider Identifier
1285732693
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B10000358 Issued in DE
Practice address
80 Omega Dr BLDG C
Newark, DE 19713-2064
Phone
(302) 478-6199
Fax
(302) 384-7162
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X B10000358 DE Primary

Addresses

Primary practice location

80 Omega Dr BLDG C
Newark, DE 19713-2064

Mailing address

80 Omega Dr BLDG C
Newark, DE 19713-2064
Phone (302) 478-6199

Other identifiers 1

IdentifierTypeStateIssuer
173144OtherDECOMPSYCH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20050415000239 DE Practitioner - Clinical Psychologist 5193762649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene Minds LLCGroup PAC ID 0143519553, 22 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 102
Wilmington, DE 19803-3835
Phone (302) 478-6199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B10000358DEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Minds, LLC CurrentSince Aug 4, 2021 Accepting new patients

Locations

80 Omega Dr
Bldg C
Newark, DE 19713
Phone (302) 478-6199

410 Foulk Rd
Ste 102
Wilmington, DE 19803
Phone (302) 478-6199

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1285732693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-478-6199",
            "fax_number": "302-384-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OMEGA DR BLDG C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132064",
            "telephone_number": "302-478-6199",
            "fax_number": "302-384-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPS",
        "first_name": "SUSAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "173144",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.