NPIMap

Organization Active NPI

Dr Susan B Myket PC

Doing business as Susan Myket, PH.D. & Associates

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1457570251
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR SUSAN B MYKET PC
Doing business as
Susan Myket, PH.D. & Associates
Practice address
1415 Bond St
Suite 127
Naperville, IL 60563-2388
Phone
(630) 212-2049
Fax
(866) 441-1136
NPI assigned
Apr 24, 2007
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Susan MyketNPI 1841417722
Title
President
Phone
(630) 355-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1415 Bond St
Suite 127
Naperville, IL 60563-2388

Mailing address

1415 Bond St Ste 127
Naperville, IL 60563-2769

Other names 1

  • SUSAN MYKET, PH.D. & ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260528001241 IL Part B Supplier - Clinic/Group Practice 6507336807 Receives reassigned benefits from 3 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1415 Bond St
Ste 127
Naperville, IL 60563
Phone (630) 212-2049

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1457570251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BOND ST STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-212-2049",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN B MYKET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MYKET",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-355-9002"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSAN MYKET, PH.D. & ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.