Active NPI
Suzette Hunt, M.ED
- Psychologist
- Philadelphia, PA
National Provider Identifier
1417467572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006204L
- Practice address
- 265 E Lehigh Ave
Philadelphia, PA 19125-1013 - Phone
- (215) 203-5400
- NPI assigned
- Oct 3, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006204L | PA | Primary |
Addresses
Primary practice location
265 E Lehigh Ave
Philadelphia, PA 19125-1013
Mailing address
2433 Olive St
Philadelphia, PA 19130-2523
Phone (215) 869-7538
Other practice location 1
600 Louis Dr Ste 207
Warminster, PA 18974-2847
Phone (215) 442-1570
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006204L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417467572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2433 OLIVE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302523",
"telephone_number": "215-869-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 E LEHIGH AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191251013",
"telephone_number": "215-203-5400"
}
],
"practiceLocations": [
{
"address_1": "600 Louis Dr Ste 207",
"address_purpose": "LOCATION",
"city": "Warminster",
"state": "PA",
"postal_code": "189742847",
"country_code": "US",
"telephone_number": "215-442-1570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNT",
"first_name": "SUZETTE",
"name_prefix": "Ms.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006204L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.