Organization Active NPI

Suzanne R. Lucot MD Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cranberry Township, PA
National Provider Identifier
1689716672
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MD060218L Issued in PA
Legal business name
SUZANNE R. LUCOT MD PSYCHIATRIC SERVICES LLC
Practice address
3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3415
Phone
(724) 776-3366
Fax
(724) 776-3367
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Suzanne Reichle Lucot, M.D.NPI 1629110606
Title
President
Phone
(724) 776-3366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD060218L PA Primary

Addresses

Primary practice location

3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3415

Mailing address

3104 Unionville Rd
Suite 175
Cranberry Township, PA 16066-3415
Phone (724) 776-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150723006782 PA Part B Supplier - Clinic/Group Practice 1254644057 Receives reassigned benefits from 3 practitioners
Practice locations: Cranberry TWP, PA

National Provider Directory

National Provider Directory

Locations

3104 Unionville Rd
Ste 175
Cranberry Twp, PA 16066
Phone (724) 776-3366

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1689716672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 175",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-776-3366",
            "fax_number": "724-776-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 UNIONVILLE RD",
            "address_2": "SUITE 175",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663415",
            "telephone_number": "724-776-3366",
            "fax_number": "724-776-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE R. LUCOT MD PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "LUCOT",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "REICHLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-776-3366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "MD060218L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.