Susan F Hermes – Clinical Psychologist in Jackson, MS

Key facts

NPI: 1356572432
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: MS49844 (MS)
Practice address: 1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Phone: (601) 981-2611
NPI assigned: Aug 6, 2009
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Mississippi Methodist Hospital & Rehabilitation Center, Inc. Physical Medicine & Rehabilitation Physician · Jackson, MS · NPI 1790711273

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
MS49844	MS	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	MS49844	MS	Yes

Addresses

Primary practice location

1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112

Mailing address

1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112
Phone (601) 981-2611

Other names

Susan D Fieselman Former name

Other providers in Jackson, MS

All providers in Jackson, MS · Clinical Psychologist in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.