Individual provider Active NPI

Susannah Rowan Flamm, PH.D.

  • Clinical Psychologist
  • Butler, PA
National Provider Identifier
1376959783
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017609 Issued in PA
Practice address
325 New Castle Rd
Butler, PA 16001-2418
Phone
(724) 287-4781
Fax
(724) 477-5038
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017609 PA Primary

Addresses

Primary practice location

325 New Castle Rd
Butler, PA 16001-2418

Mailing address

325 New Castle Rd
Butler, PA 16001-2418
Phone (724) 287-4781

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017609PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1376959783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012418",
            "telephone_number": "724-287-4781",
            "fax_number": "724-477-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012418",
            "telephone_number": "724-287-4781",
            "fax_number": "724-477-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMM",
        "first_name": "SUSANNAH",
        "middle_name": "ROWAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.