Active NPI
Susan Reneau Rathmell, PH.D.
- Clinical Psychologist
- Vestavia, AL
National Provider Identifier
1477724243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1484
- Practice address
- 1952 Urban Center Pkwy
Vestavia, AL 35242-2594 - Phone
- (205) 983-4063
- NPI assigned
- Mar 19, 2008
- Last updated
- Sep 23, 2024
- 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 | 1484 | AL | Primary |
Addresses
Primary practice location
1952 Urban Center Pkwy
Vestavia, AL 35242-2594
Mailing address
1952 Urban Center Pkwy
Vestavia, AL 35242-2594
Phone (205) 983-4063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 11, 2026 through Jan 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1484 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1477724243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 URBAN CENTER PKWY",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352422594",
"telephone_number": "205-983-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 URBAN CENTER PKWY",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352422594",
"telephone_number": "205-983-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHMELL",
"first_name": "SUSAN",
"middle_name": "RENEAU",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.