Individual provider Active NPI

Susan Tweeten, PSY.D.

  • Psychologist
  • Oviedo, FL
National Provider Identifier
1285866962
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9261 Issued in FL
Practice address
905 S Lake Jessup Ave
Oviedo, FL 32765-8726
Phone
(407) 808-4190
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9261 FL Primary

Addresses

Primary practice location

905 S Lake Jessup Ave
Oviedo, FL 32765-8726

Mailing address

905 S Lake Jessup Ave
Oviedo, FL 32765-8726
Phone (407) 808-4190

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY9261FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Wellness & Psychological Services, LLC Psychologist Past Accepting new patients

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1285866962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S LAKE JESSUP AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658726",
            "telephone_number": "407-808-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S LAKE JESSUP AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658726",
            "telephone_number": "407-808-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEETEN",
        "first_name": "SUSAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.