Suzanne Lavelle LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8288 Issued in FL

Legal business name

SUZANNE LAVELLE LLC

Doing business as

Lakeland Psychology

Practice address

625 Commerce Dr Ste 104
Lakeland, FL 33813-2733

Phone

(863) 732-9300

Fax

(863) 732-9303

NPI assigned

Aug 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Lavelle, PSY.D.NPI 1952594806

Title

Owner

Phone

(813) 385-1632

Specialties & licenses 1

Addresses

Other names 1

• Lakeland Psychology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Marie Lavelle, PSY.D.

  • Clinical Psychologist
  • Lakeland, FL
  • NPI 1952594806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1568943777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132733",
            "telephone_number": "863-732-9300",
            "fax_number": "863-732-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COMMERCE DR STE 104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132733",
            "telephone_number": "863-732-9300",
            "fax_number": "863-732-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE LAVELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-385-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Javier Suri Bracero
• Joene Graven Sussex, LCSW
• Lauren Sutherland, M.S.
• Kelly Sutton, L.M.T.
• Robert Sutton, DMD
• Mohamed Swalih
• Swan City Chiropractic Corporation
• Swan City Eye Care
• Swan City Music Therapy, LLC
• Swan City Psychology P.a.

• Psychologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.