Active NPI
Suzanne M Hockley Murry
- Psychologist
- Baraboo, WI
National Provider Identifier
1508083965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2576-057
- Practice address
- 505 Broadway St
Baraboo, WI 53913-2183 - Phone
- (608) 355-4200
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2576-057 | WI | Primary |
Addresses
Primary practice location
505 Broadway St
Baraboo, WI 53913-2183
Mailing address
1590 Honey Creek Cir
Plain, WI 53577-9784
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2576-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sauk | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sauk County Department of Human Services
- Community/Behavioral Health Agency
- Baraboo, WI
- NPI 1508915323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508083965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 HONEY CREEK CIR",
"city": "PLAIN",
"state": "WI",
"postal_code": "535779784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BROADWAY ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539132183",
"telephone_number": "608-355-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKLEY MURRY",
"first_name": "SUZANNE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2576-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baraboo, WI
- Annette Rae Hibner, LMFT-IT
- Ho Chunk Nation (HO CHUNK NATION d/b/a House of Wellness)
- Ho Chunk Nation (House of Wellness Behavioral Health)
- Ho Chunk Nation (House of Wellness Pharmacy)
- Ho-Chunk Nation (House of Wellness Center Pharmacy)
- Jamie Hohl, SWIT
- Lisa Hollett, RN
- Melinda Holt, RN
- Home Care United, Inc.
- Home Health United, Inc (Home Health United Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.