Active NPI
Susan Deutscher Rego, PHD
- Psychologist
- Bethlehem, PA
National Provider Identifier
1689636706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS005056L
- Practice address
- 2045 Westgate Dr
Suite 300
Bethlehem, PA 18017 - Phone
- (610) 332-1705
- Fax
- (610) 332-1707
- NPI assigned
- Apr 4, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS005056L | PA | Primary |
Addresses
Primary practice location
2045 Westgate Dr
Suite 300
Bethlehem, PA 18017
Mailing address
2045 Westgate Dr
Suite 300
Bethlehem, PA 18017
Phone (610) 332-1705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518818 | Other | PA | HIGHMARK BS |
| 02762600 | Other | PA | CAPITAL BLUE CROSS |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080512000651 | PA | Practitioner - Clinical Psychologist | 0941389993 | Practice locations: Allentown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1320 Hausman Rd
Allentown, PA 18104-9056
Phone 61033217053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1689636706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 WESTGATE DR",
"address_2": "SUITE 300",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18017",
"telephone_number": "610-332-1705",
"fax_number": "610-332-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 WESTGATE DR",
"address_2": "SUITE 300",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18017",
"telephone_number": "610-332-1705",
"fax_number": "610-332-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGO",
"first_name": "SUSAN",
"middle_name": "DEUTSCHER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS005056L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "518818",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02762600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.