Dr Susan Zonnebelt-Smeenge Licensed Clinical Psychologist

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR SUSAN ZONNEBELT-SMEENGE LICENSED CLINICAL PSYCHOLOGIST

Practice address

1413 Grovehurst Drive
Marietta, GA 30062-6180

Phone

(616) 780-1082

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Susan Jean Zonnebelt-Smeenge, RN, EDDNPI 1407864200

Title

Clinical Psychologist

Phone

(616) 780-1082

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Jean Zonnebelt-Smeenge, RN, ED.D.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1407864200
  NPD (past) Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1407435563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 GROVEHURST DRIVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626180",
            "telephone_number": "616-780-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 GROVEHURST DRIVE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626180",
            "telephone_number": "616-780-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN ZONNEBELT-SMEENGE LICENSED CLINICAL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "ZONNEBELT-SMEENGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-780-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.