Active NPI
Suzanne Kay Sedge, PH.D.
- Counseling Psychologist
- Columbia, MD
National Provider Identifier
1588771059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 02239
- Practice address
- 11775 Lone Tree CT
Columbia, MD 21044-4315 - Phone
- (410) 730-6652
- Fax
- (410) 730-7978
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 02239 | MD | Primary |
Addresses
Primary practice location
11775 Lone Tree CT
Columbia, MD 21044-4315
Mailing address
11775 Lone Tree CT
Columbia, MD 21044-4315
Phone (410) 730-6652
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02239 | MD | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients |
Interoperability endpoints
- suzannesedge@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588771059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11775 LONE TREE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444315",
"telephone_number": "410-730-6652",
"fax_number": "410-730-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11775 LONE TREE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444315",
"telephone_number": "410-730-6652",
"fax_number": "410-730-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDGE",
"first_name": "SUZANNE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "02239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
- Seasons Hospice & Palliative Care of Maryland, LLC (AccentCare Hospice & Palliative Care of Maryland)
- Seasons Medical Group of Maryland PC (AccentCare Medical Group of Maryland)
- Raul Sebastian Laines, M.D
- Raymond Joseph Sebor, DDS
- Ashley Sebra
- Cynthia Seen
- Leslie Dara Segev
- Jacqueline Marie Segue-Wilkins, L.C.P.C., N.C.C
- Vicki Suzanne Seibert, PT
- Stacey L Seidel, MD
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.