Active NPI
Susan D Gierok, PHD
- Clinical Neuropsychologist
- West Palm Beach, FL
National Provider Identifier
1669652657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1334
- Practice address
- 1800 S Australian Ave
Suite 205
West Palm Beach, FL 33409-6450 - Phone
- (561) 317-9955
- Fax
- (561) 689-0806
- NPI assigned
- Nov 7, 2007
- Last updated
- Jul 25, 2008
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1334 | AL | Primary |
Addresses
Primary practice location
1800 S Australian Ave
Suite 205
West Palm Beach, FL 33409-6450
Mailing address
1800 S Australian Ave
Suite 205
West Palm Beach, FL 33409-6450
Phone (561) 317-9955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051527334 | Other | AL | BLUE CROSS PROVIDER NUMBE |
| 051555700 | Other | AL | MEDICARE PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1334 | AL | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology Clinic | Clinical Neuropsychologist | Past | Accepting new patients |
| Lisa D Rollins-Garcia, PH.D., P.a. | Past | Accepting new patients | |
| Sheridan Lynn Koplow Ed D PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- Palm Beach Gardens, FL
- NPI 1114379930
-
- Counseling Psychologist
- Wellington, FL
- NPI 1851561997
-
- Clinical Neuropsychologist
- Northport, AL
- NPI 1093996985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1669652657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S AUSTRALIAN AVE",
"address_2": "SUITE 205",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096450",
"telephone_number": "561-317-9955",
"fax_number": "561-689-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S AUSTRALIAN AVE",
"address_2": "SUITE 205",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096450",
"telephone_number": "561-317-9955",
"fax_number": "561-689-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIEROK",
"first_name": "SUSAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AL",
"license": "1334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "051527334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "051555700",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Beverly Gibel, LCSW,ACSW,PA
- Jennifer Mae Gibson, PHARMD
- Keondra Gibson
- Ronald Eugene Giddens, O.D.
- Kelly Ann Giegerich
- Gift Me Health International Inc.
- Gift Me Health International LLC (Gift Me Health Women's Primary Care)
- Gift of Life Pregnancy Services, LLC (Palm Beach Maternity Center)
- Barbara D Gil Garcia
- Gabriel Gil Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.