Suzanne McKenna, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10-07P Issued in AR

Practice address

211 N 34TH St
Rogers, AR 72756-0352

Phone

(479) 202-9956

Fax

(479) 202-9956

NPI assigned

Jun 27, 2005

Last updated

Dec 3, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AR

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, 1995

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S McKenna, LLC

  • Clinical Psychologist
  • Rogers, AR
  • NPI 1154625127
  Medicare reassignment NPD Authorized official
• Center of Change

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1679741144
  NPD (past) Authorized official

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1316943095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-202-9956",
            "fax_number": "479-202-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 34TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560352",
            "telephone_number": "479-202-9956",
            "fax_number": "479-202-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "SUZANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "10-07P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ann McGaughey, LCSW
• Jeannette McIntyre
• Allison Elizabeth Lee McKay, CRNA
• Sunny Amber McKee, M.S., OTR/L
• Amanda Baker McKeigney-Childs, LCSW
• Jason M McKinney, MD
• Corey McKown, D.D.S.
• Meaghan McNulty, MD
• McReynolds Wellness Clinic PLLC
• Anna Mead

• Clinical Psychologist in Rogers, AR
• Providers in Rogers, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.