Individual provider Active NPI

Susan Henderson Fletcher, PH D

  • Psychologist
  • Plano, TX
National Provider Identifier
1316113582
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
26858 Issued in TX
Practice address
2301 Ohio Drive
Suite 135
Plano, TX 75093-3992
Phone
(972) 612-1188
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 26858 TX Primary

Addresses

Primary practice location

2301 Ohio Drive
Suite 135
Plano, TX 75093-3992

Mailing address

2301 Ohio Dr
Ste 135
Plano, TX 75093-3992
Phone (972) 612-1188

Other identifiers 3

IdentifierTypeStateIssuer
5654OtherTXLICENSED SPECIALIST SCHOOL PSYCHOLOGY (LSSP)
44612OtherTXNATIONAL HEALTH SERVICE PROVIDER
26858OtherTXLICENSED PSYCHOLOGIST NUMBER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26858TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher & Associates Psychological Services, P.a. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1316113582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "STE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933992",
            "telephone_number": "972-612-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DRIVE",
            "address_2": "SUITE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933992",
            "telephone_number": "972-612-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SUSAN",
        "middle_name": "HENDERSON",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "26858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPECIALIST SCHOOL PSYCHOLOGY (LSSP)",
            "identifier": "5654",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL HEALTH SERVICE PROVIDER",
            "identifier": "44612",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST NUMBER",
            "identifier": "26858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.