Active NPI
Suzanne Haddad Layne, MA
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1639299951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1900 W Thomas Rd
Phoenix, AZ 85015-6051 - Phone
- (602) 764-8193
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 26, 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
1900 W Thomas Rd
Phoenix, AZ 85015-6051
Mailing address
9644 N 26TH St
Phoenix, AZ 85028-4707
Phone (602) 971-0533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 582131 | Medicaid | AZ |
Other names 1
- Mrs. Suzanne Layne Haddad
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1639299951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9644 N 26TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284707",
"telephone_number": "602-971-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850156051",
"telephone_number": "602-764-8193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYNE",
"first_name": "SUZANNE",
"middle_name": "HADDAD",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "582131",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "HADDAD",
"middle_name": "LAYNE",
"prefix": "MRS.",
"credential": "MA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.