Active NPI
Susan Marie Carter, PHD LP
- Clinical Psychologist
- Kalamazoo, MI
National Provider Identifier
1427032861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009258
- Practice address
- 3918 Cricket LN
Kalamazoo, MI 49008-3335 - Phone
- (269) 340-0870
- Fax
- (616) 369-5583
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301009258 | MI | Primary |
Addresses
Primary practice location
3918 Cricket LN
Kalamazoo, MI 49008-3335
Mailing address
3918 Cricket LN
Kalamazoo, MI 49008-3335
Phone (269) 340-0870
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219007449 | Medicaid | MI | |
| 680H010110 | Other | MI | BCBS |
| 680H045020 | Other | MI | BCBS PPO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1427032861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 CRICKET LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083335",
"telephone_number": "269-340-0870",
"fax_number": "616-369-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 CRICKET LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083335",
"telephone_number": "269-340-0870",
"fax_number": "616-369-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219007449",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "680H010110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO",
"identifier": "680H045020",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.