Susanne M Dillmann, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21969 Issued in CA

Practice address

210 S Juniper St
Suite 213
Escondido, CA 92025-4229

Phone

(760) 743-7789

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 18, 2013 through Mar 18, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Annette Conway Psychology, PC

  • Clinical Psychologist
  • Solana Beach, CA
  • NPI 1083959092
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1487728598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S JUNIPER ST",
            "address_2": "SUITE 213",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254229",
            "telephone_number": "760-743-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S JUNIPER ST",
            "address_2": "SUITE 213",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254229",
            "telephone_number": "760-743-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMANN",
        "first_name": "SUSANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dietonex
• William Dietrich
• Zulma Liz Digaudio, PSYD, LMFT, ATR, RPT
• Gabriela Moreno Dilauro, MD
• Kareen Dillard
• Brendelle Lazo Dimaano
• Dimensions Collaborative School
• Salvatore Dinatale, PHD
• Thao Dinh, PA-C
• Direct Care Nursing Corporation

• Clinical Psychologist in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.