Individual provider Active NPI

Suzanne Reichle Lucot, M.D.

  • Child & Adolescent Psychiatry Physician
  • Cranberry Township, PA
National Provider Identifier
1629110606
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD060218L Issued in PA
Practice address
3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3616
Phone
(724) 776-3366
Fax
(724) 776-3367
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD060218L PA
Child & Adolescent Psychiatry Physician 2084P0804X MD060218L PA Primary

Addresses

Primary practice location

3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3616

Mailing address

3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3616
Phone (724) 776-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723006943 PA Practitioner - Psychiatry 4981917796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suzanne R Lucot MD Psychiatric Services LLCGroup PAC ID 1254644057, 3 clinicians

Practice addresses (Care Compare)

130 W N St
New Castle, PA 16101-3906
Phone (724) 658-3578

20399 Route 19
Suite 203
Cranberry TWP, PA 16066

20399 Route 19
Suite 203
Cranberry TWP, PA 16066-6138
Phone (724) 776-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD060218LPAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Center CurrentSince Jan 17, 2018 Accepting new patients
Suzanne R. Lucot MD Psychiatric Services LLC CurrentSince May 4, 2015 Accepting new patients

Locations

3104 Unionville Rd
Ste 175
Cranberry Twp, PA 16066
Phone (724) 776-3366

20399 Route 19
Ste 203
Cranberry Twp, PA 16066
Phone (724) 772-8000

130 W North St
New Castle, PA 16101
Phone (724) 658-3578

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1629110606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 175",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663616",
            "telephone_number": "724-776-3366",
            "fax_number": "724-776-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 175",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663616",
            "telephone_number": "724-776-3366",
            "fax_number": "724-776-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCOT",
        "first_name": "SUZANNE",
        "middle_name": "REICHLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD060218L",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD060218L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.