Susan Cook Maytorena, PH.D., PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000296 Issued in VA

Legal business name

SUSAN COOK MAYTORENA, PH.D., PLC

Practice address

629 S Washington St
Alexandria, VA 22314-4109

Phone

(703) 519-6770

Fax

(703) 229-0801

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Susan Cook Maytorena, PH.D.NPI 1609098227

Title

Owner

Phone

(703) 519-6770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan Cook Maytorena, PH.D.

  • Clinical Psychologist
  • Alexandria, VA
  • NPI 1609098227
  NPD (past) Authorized official

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1689925489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144109",
            "telephone_number": "703-519-6770",
            "fax_number": "703-229-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144109",
            "telephone_number": "703-519-6770",
            "fax_number": "703-229-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN COOK MAYTORENA, PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MAYTORENA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-519-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Support and Tutoring for Exceptional People LLC
• Kidist Surafel, COTA/L
• Sumana Suresh, M.D.
• Kendra Surmitis, PH.D.
• Samantha Surprenant, RD
• Susana Lopez DDS PLLC
• Olguiliz Sustache-Davila
• Lily Rebeca Sutherland, LCSW
• Joylene Winifred Sutton-Aransevia, ARNP
• Pamela M Sutton, OT/L

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.