Susan Adams Proebsting, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4458 Issued in AZ

Practice address

St. Mark'S Umc
1431 W. Magee Rd
Tucson, AZ 85704-2116

Phone

(520) 262-0787

Fax

(520) 244-1681

NPI assigned

Nov 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Maitri Wellness, PLLC

  • Clinical Psychologist
  • Tucson, AZ
  • NPI 1629697644
  NPD Authorized official

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1306242698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E AVENIDA DE POSADA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183057",
            "telephone_number": "520-262-0787",
            "fax_number": "520-244-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. MARK'S UMC",
            "address_2": "1431 W. MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042116",
            "telephone_number": "520-262-0787",
            "fax_number": "520-244-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEBSTING",
        "first_name": "SUSAN",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Pritchard, NMD
• Barbara E Pritchard, PHD
• Patricia L Pritchett, LPC
• Michael R Probstfeld, MD
• Gabrielle Procci
• Professional Anesthesia Services LLC
• Professional Optometric Services, PC
• Professional Sports Chiropractic LLC
• Progressing at Recovery LLC
• Progressing at Recovery LLC

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.