Individual provider Active NPI

Susan Rachel Hunt, PSY.D

  • Clinical Psychologist
  • Jenkintown, PA
National Provider Identifier
1417640228
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019472 Issued in PA
Practice address
261 Old York Rd Ste 318
Jenkintown, PA 19046-3709
Phone
(215) 885-3337
NPI assigned
May 29, 2023
Last updated
May 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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 019472 PA Primary

Addresses

Primary practice location

261 Old York Rd Ste 318
Jenkintown, PA 19046-3709

Mailing address

112 Simpson Rd
Ardmore, PA 19003-2106
Phone (610) 283-9107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230617000344 PA Practitioner - Clinical Psychologist 6204294564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Suite 318
Jenkintown, PA 19046-3709
Phone (215) 885-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019472PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC CurrentSince Jun 1, 2023 Accepting new patients

Locations

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1417640228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SIMPSON RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032106",
            "telephone_number": "610-283-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 318",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463709",
            "telephone_number": "215-885-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "SUSAN",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "019472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.