Active NPI
Susana L. Kugeares, PH.D.
- Clinical Psychologist
- Wesley Chapel, FL
National Provider Identifier
1679547665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7016
- Practice address
- 28322 Openfield Loop
Wesley Chapel, FL 33543-5705 - Phone
- (813) 892-8910
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | PY7016 | FL | Primary |
Addresses
Primary practice location
28322 Openfield Loop
Wesley Chapel, FL 33543-5705
Mailing address
28322 Openfield Loop
Wesley Chapel, FL 33543-5705
Phone (813) 892-8910
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 |
|---|---|---|---|
| PY7016 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1679547665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28322 OPENFIELD LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435705",
"telephone_number": "813-892-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28322 OPENFIELD LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435705",
"telephone_number": "813-892-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUGEARES",
"first_name": "SUSANA",
"middle_name": "L.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.