Active NPI
Susan E Lane-Loney, PHD
- Psychologist
- Hershey, PA
National Provider Identifier
1295772846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008321L
- Practice address
- 905 W Governor Rd
Suite 250
Hershey, PA 17033-2307 - Phone
- (717) 531-7235
- Fax
- (717) 531-0067
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PS008321L | PA | Primary |
Addresses
Primary practice location
905 W Governor Rd
Suite 250
Hershey, PA 17033-2307
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036473 | Other | PA | MEDICARE GROUP |
| 0016022180001 | Medicaid | PA |
Other names 1
- Susan E Lane
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS008321L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1295772846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W GOVERNOR RD",
"address_2": "SUITE 250",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332307",
"telephone_number": "717-531-7235",
"fax_number": "717-531-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE-LONEY",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS008321L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "036473",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016022180001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LANE",
"middle_name": "E",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.