Individual provider Active NPI

Amy Suszko Brown, PSY.D.

  • Clinical Psychologist
  • Frankfort, IL
National Provider Identifier
1528199114
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005567 Issued in IL
Practice address
15 Oak St Ste 2B
Frankfort, IL 60423-1486
Phone
(708) 955-8070
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071005567 IL Primary

Addresses

Primary practice location

15 Oak St Ste 2B
Frankfort, IL 60423-1486

Mailing address

15 Oak St Ste 2B
Frankfort, IL 60423-1486
Phone (708) 955-8070

Other practice location 1

9601 165th St Ste 6
Orland Park, IL 60467-5661
Phone (708) 955-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2023 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071005567ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstone & Associates, LLC Clinical PastSince Jul 1, 2002 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1528199114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK ST STE 2B",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231486",
            "telephone_number": "708-955-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST STE 2B",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231486",
            "telephone_number": "708-955-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 165th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675661",
            "country_code": "US",
            "telephone_number": "708-955-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMY",
        "middle_name": "SUSZKO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.