Individual provider Active NPI

Susan Jan Caveney, MS

  • School Psychologist
  • Avon, IN
National Provider Identifier
1497588917
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1269393 Issued in IN
Practice address
7203 E US Highway 36
Avon, IN 46123-7967
Phone
(317) 544-6700
Fax
(317) 544-6001
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1269393 IN Primary

Addresses

Primary practice location

7203 E US Highway 36
Avon, IN 46123-7967

Mailing address

584 Caesar Dr
Avon, IN 46123-6335
Phone (317) 439-7615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1269393INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1497588917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 CAESAR DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236335",
            "telephone_number": "317-439-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237967",
            "telephone_number": "317-544-6700",
            "fax_number": "317-544-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENEY",
        "first_name": "SUSAN",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1269393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.