Susan M Guenther, PH.D., PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00502 Issued in IA

Legal business name

SUSAN M GUENTHER, PH.D., PC

Practice address

2800 Rutland Ave
Des Moines, IA 50311-4014

Phone

(515) 279-0631

Fax

(515) 279-0631

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Susan Guenther, PH.D.NPI 1821002213

Title

Licensed Psychologist

Phone

(515) 279-0631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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

• Susan Marie Guenther, PH D

  • Psychologist
  • Des Moines, IA
  • NPI 1821002213
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1447651963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RUTLAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114014",
            "telephone_number": "515-279-0631",
            "fax_number": "515-279-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 RUTLAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114014",
            "telephone_number": "515-279-0631",
            "fax_number": "515-279-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M GUENTHER, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "515-279-0631",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Home & Community Assisted Living LLC
• Supportive Independent Shared Housing LLC
• Surgery Centers of Des Moines LTD
• Surgery Centers of Iowa LLC
• Susan L Houts, Lisw, LLC
• Lily Sutton, ARNP
• Charles Howard Svensson, M.D.
• Tessa Marie Swacker
• Karen Nicole Swafford, MMN, RDN, LD
• Gabriela Swan

• Psychologist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.