Active NPI
Susanne B. Parlade, PSY.D.
- Psychologist
- Kissimmee, FL
National Provider Identifier
1528117280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 6749
- Practice address
- 206 Park Place Blvd.
Kissimmee, FL 34741 - Phone
- (407) 846-0023
- Fax
- (407) 933-7890
- NPI assigned
- Jan 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 20142 | CA | |
| Psychologist | 103T00000X | PY 6749 | FL | Primary |
Addresses
Primary practice location
206 Park Place Blvd.
Kissimmee, FL 34741
Mailing address
206 Park Place Blvd.
Kissimmee, FL 34741
Phone (407) 846-0023
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 |
|---|---|---|---|
| PSY 20142 | CA | MD | Psychologist |
| PY 6749 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1528117280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 PARK PLACE BLVD.",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-846-0023",
"fax_number": "407-933-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 PARK PLACE BLVD.",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-846-0023",
"fax_number": "407-933-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARLADE",
"first_name": "SUSANNE",
"middle_name": "B.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 20142",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 6749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.