Active NPI
Susan Minnick, PSY.D.
- Clinical Psychologist
- Palmyra, PA
National Provider Identifier
1346670296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017834
- Practice address
- 272 Fencepost LN
Palmyra, PA 17078-8722 - Phone
- (570) 578-1684
- Fax
- (570) 578-1684
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017834 | PA | Primary |
Addresses
Primary practice location
272 Fencepost LN
Palmyra, PA 17078-8722
Mailing address
272 Fencepost LN
Palmyra, PA 17078-8722
Phone (570) 578-1684
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017834 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1346670296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 FENCEPOST LN",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170788722",
"telephone_number": "570-578-1684",
"fax_number": "570-578-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 FENCEPOST LN",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170788722",
"telephone_number": "570-578-1684",
"fax_number": "570-578-1684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICK",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.