Active NPI
Susan Elizabeth Swann, PH.D.
- Psychologist
- Flagstaff, AZ
National Provider Identifier
1689678591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1520
- Practice address
- 3060 W Brenda Loop
Flagstaff, AZ 86001-0916 - Phone
- (928) 214-0922
- Fax
- (928) 214-0915
- NPI assigned
- Jun 8, 2005
- 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 | 1520 | AZ | Primary |
Addresses
Primary practice location
3060 W Brenda Loop
Flagstaff, AZ 86001-0916
Mailing address
PO Box 1569
Flagstaff, AZ 86002-1569
Phone (928) 214-0922
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 |
|---|---|---|---|
| 1520 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1689678591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1569",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860021569",
"telephone_number": "928-214-0922",
"fax_number": "928-214-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 W BRENDA LOOP",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860010916",
"telephone_number": "928-214-0922",
"fax_number": "928-214-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANN",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.