NPIMap

Organization Active NPI

Lewis Center

  • Psychologist
  • Cumberland, MD
National Provider Identifier
1487197208
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02910 Issued in MD
Legal business name
LEWIS CENTER
Practice address
111 S George St
Suite 15
Cumberland, MD 21502-3087
Phone
(301) 759-2813
Fax
(301) 759-2813
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Dr. Suanne Marie Lewis, ED.D.NPI 1639407133
Title
Psychologist
Phone
(301) 759-2813

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 02910 MD Primary

Addresses

Primary practice location

111 S George St
Suite 15
Cumberland, MD 21502-3087

Mailing address

111 S George St
Suite 15
Cumberland, MD 21502-3087
Phone (301) 759-2813

Other identifiers 3

IdentifierTypeStateIssuer
BA29OtherMDCAREFIRST
458143000OtherMDMAGELLAN
313101700MedicaidMD

National Provider Directory

National Provider Directory

Locations

111 S George St
Ste 15
Cumberland, MD 21502
Phone (301) 759-2813

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1487197208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GEORGE ST",
            "address_2": "SUITE 15",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023087",
            "telephone_number": "301-759-2813",
            "fax_number": "301-759-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GEORGE ST",
            "address_2": "SUITE 15",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023087",
            "telephone_number": "301-759-2813",
            "fax_number": "301-759-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SUANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "301-759-2813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "BA29",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "458143000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313101700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.