Susan B. Palmer-Ansorg, PH.D. PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

WA2532 Issued in WA

Legal business name

SUSAN B. PALMER-ANSORG, PH.D. PLLC

Practice address

16000 Bothell Everett Hwy
Suite 200
Mill Creek, WA 98012-1742

Phone

(425) 357-8023

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Beth Palmer-Ansorg, PH.D.NPI 1376974592

Title

Owner

Phone

(425) 357-8023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Palmer-Ansorg, PH.D.

  • Clinical Psychologist
  • Center Harbor, NH
  • NPI 1376974592
  NPD Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1316026263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY",
            "address_2": "SUITE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121742",
            "telephone_number": "425-357-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY",
            "address_2": "SUITE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121742",
            "telephone_number": "425-357-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B. PALMER-ANSORG, PH.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PALMER-ANSORG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-357-8023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "WA2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Friedrich
• Pamela Jean Suter, RN
• Elizabeth Sutter, OTR/L
• Nirja Prashant Swadas
• Jessica Swanberg, ARNP

• Clinical Child & Adolescent Psychologist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.