Individual provider Active NPI

Susan Sherlock Locke, M.D.

  • Psychiatry Physician
  • Independence, OH
National Provider Identifier
1518059187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
54961 Issued in OH
Practice address
6133 Rockside Rd
Suite 207
Independence, OH 44131-2223
Phone
(216) 520-5969
Fax
(216) 520-5098
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 54961 OH Primary

Addresses

Primary practice location

6133 Rockside Rd
Suite 207
Independence, OH 44131-2223

Mailing address

6133 Rockside Rd
Suite 207
Independence, OH 44131-2223
Phone (216) 520-5969

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54961OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Behavioral Health, LLC PastSince Oct 15, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518059187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312223",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD",
            "address_2": "SUITE 207",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312223",
            "telephone_number": "216-520-5969",
            "fax_number": "216-520-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "SUSAN",
        "middle_name": "SHERLOCK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "54961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

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.

Verify at the official NPI Registry.