Organization Active NPI

Suzanne M. James, Psy.D., LLC

  • Clinical Psychologist
  • Erlanger, KY
National Provider Identifier
1386899003
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1419 Issued in KY
Legal business name
SUZANNE M. JAMES, PSY.D., LLC
Practice address
495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468
Phone
(859) 342-6444
Fax
(859) 342-0999
NPI assigned
Nov 21, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Suzanne Mulcahy James, PSY.D.NPI 1255353728
Title
Licensed Psychologist
Phone
(859) 342-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20081216000374 KY Part B Supplier - Clinic/Group Practice 5991867517 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Mitchell, KY

National Provider Directory

National Provider Directory

Locations

305 Artillery Park Dr
Unit 102
Ft Mitchell, KY 41017
Phone (859) 426-0200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1419 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468

Mailing address

495 Erlanger Rd
Suite 204
Erlanger, KY 41018-1468
Phone (859) 342-6444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2008.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1386899003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ERLANGER RD",
            "address_2": "SUITE 204",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181468",
            "telephone_number": "859-342-6444",
            "fax_number": "859-342-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ERLANGER RD",
            "address_2": "SUITE 204",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181468",
            "telephone_number": "859-342-6444",
            "fax_number": "859-342-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE M. JAMES, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MULCAHY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "859-342-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.