Lana N. Susskind-Wilder, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3842 Issued in AZ

Practice address

9832 N Hayden Rd
Suite 106
Scottsdale, AZ 85258-1298

Phone

(480) 945-3475

Fax

(480) 922-5569

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arizona Neuropsychology PC

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1609906932
  NPD (past)
• Catherine S. O'Connell, PC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1912048422
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1376618520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 N 12TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218023",
            "telephone_number": "602-410-9011",
            "fax_number": "480-922-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581298",
            "telephone_number": "480-945-3475",
            "fax_number": "480-922-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSKIND-WILDER",
        "first_name": "LANA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3842",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AZ",
            "license": "3842",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "3842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "Z60229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgitech Centers, Inc
• Surraj Medical Associates
• Surraj Medical Associates
• Susan M Madison MD PHD PC
• Susan's Adult Care, LLC
• Diana Sussman, LCSW
• Sustained Recovery LLC (Sustained Recovery)
• Suzette Elisabeth Sutherland, M.D.
• Rani Sutliff, DPT
• Bridget Sutter

• Clinical Neuropsychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.