Susan Joan Stalgaitis, PHD IN CLIICAL PSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

TN967 Issued in TN

Practice address

9217 Park West Blvd
Ste D 1
Knoxville, TN 37923-4420

Phone

(865) 691-2425

Fax

(865) 531-8440

NPI assigned

Nov 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• L. Michael Sherrod, PH.D, , P.C.

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1205919651
  NPD (past)
• Lauren Hamrick PLLC

  • Adult Mental Health Clinic/Center
  • Knoxville, TN
  • NPI 1336845031
  NPD (past)

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316026776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "STE D 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234420",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "STE D 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234420",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALGAITIS",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHD IN CLIICAL PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "TN967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034139",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Allsup Stains
• Amber Freeman Stair
• Clovis E Stair, PH.D.
• Bojana Staley
• Erin Staley
• Cristy Anne Stallings, NP-C
• Lori Stallings, NP
• Sarah Stallings, LPN
• Ted R Stallings, MD
• John P Stallworth, M.D.

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.