NPIMap

Organization Active NPI

Dr. Suzanne M. Allie, PSYD, PA

  • Clinical Psychologist
  • Valrico, FL
National Provider Identifier
1639423437
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7160 Issued in FL
Legal business name
DR. SUZANNE M. ALLIE, PSYD, PA
Practice address
3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630
Phone
(813) 425-2569
NPI assigned
Oct 31, 2012
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Suzanne M Allie, PSY.D.NPI 1639207905
Title
President
Phone
(813) 425-2569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7160 FL Primary

Addresses

Primary practice location

3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630

Mailing address

3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630
Phone (813) 425-2569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1639423437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965630",
            "telephone_number": "813-425-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965630",
            "telephone_number": "813-425-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUZANNE M. ALLIE, PSYD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "ALLIE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-425-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.