Susan Cherie Sult, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 3854 Issued in FL

Practice address

204 N Park Ave Ste 100
Sanford, FL 32771-1293

Phone

(407) 330-0418

Fax

(407) 321-0059

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Florida Psychological Ser Inc

  • Psychologist
  • Sanford, FL
  • NPI 1033272133
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1689737769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2525",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327722525",
            "telephone_number": "407-330-0418",
            "fax_number": "407-321-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N PARK AVE STE 100",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711293",
            "telephone_number": "407-330-0418",
            "fax_number": "407-321-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULT",
        "first_name": "SUSAN",
        "middle_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 3854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014309900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinsey Drea Sucher
• Belina Sulanjaku, BCBA, RBT
• Tulio A Sulbaran, MD
• Carmen N Sullivan
• Michele Sullivan IV
• Elaine Summers, LMFT
• Summit Counseling
• Angela Sumrall, COTA
• Sun State Medical Group Inc
• Sunshine Caregivers LLC

• Psychologist in Sanford, FL
• Providers in Sanford, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.

Verify at the official NPI Registry.