NPIMap

Individual provider Active NPI

Susan Kay Stroud, M.ED; ED.S.

  • School Psychologist
  • Coupeville, WA
National Provider Identifier
1366788168
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
ESA-376284F Issued in WA
Practice address
501 S. Main St.
Coupeville, WA 98239-3518
Phone
(360) 678-4409
Fax
(360) 678-0540
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X ESA-376284F WA
School Psychologist 103TS0200X ESA-376284F WA Primary

Addresses

Primary practice location

501 S. Main St.
Coupeville, WA 98239-3518

Mailing address

501 S. Main St.
Coupeville, WA 98239-3518
Phone (360) 678-4409

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

State licenses

LicenseStateTypeSpecialty
ESA-376284FWAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1366788168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. MAIN ST.",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393518",
            "telephone_number": "360-678-4409",
            "fax_number": "360-678-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. MAIN ST.",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393518",
            "telephone_number": "360-678-4409",
            "fax_number": "360-678-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.ED; ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "WA",
            "license": "ESA-376284F",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "ESA-376284F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.