Individual provider Active NPI

Susan E Justitz, PH.D.

  • Counseling Psychologist
  • Lewisville, TX
National Provider Identifier
1346440898
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
33456 Issued in TX
Practice address
1232 Whitehorse Dr
Lewisville, TX 75077-2934
Phone
(214) 208-9460
Fax
(972) 353-3014
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 33456 TX Primary

Addresses

Primary practice location

1232 Whitehorse Dr
Lewisville, TX 75077-2934

Mailing address

1232 Whitehorse Dr
Lewisville, TX 75077-2934
Phone (214) 208-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
Psychology Associates of North Texas Past Accepting new patients
Psychology Associates of North Texas, P.a. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1346440898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 WHITEHORSE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772934",
            "telephone_number": "214-208-9460",
            "fax_number": "972-353-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 WHITEHORSE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772934",
            "telephone_number": "214-208-9460",
            "fax_number": "972-353-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTITZ",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "33456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.