Susanne Griffin, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

3663 Issued in AZ

Practice address

3550 N Central Ave Ste 1407
Phoenix, AZ 85012-2112

Phone

(602) 216-6900

Fax

(602) 271-9889

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Vista Neuropsychological Specialists PLLCGroup PAC ID 5395986731, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Desert Vista Neuropsychological Specialists, PLLC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1821283342
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1700902764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 NORTH 16TH STREET",
            "address_2": "SUITE 219",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205251",
            "telephone_number": "602-216-6900",
            "fax_number": "602-271-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N CENTRAL AVE STE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122112",
            "telephone_number": "602-216-6900",
            "fax_number": "602-271-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "SUSANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "3663",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "3663",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakishia Griffin, RN
• Laura Kareen Griffin, MD
• Micah Griffin
• Robert Griffin, LPC
• Sierra Griffin
• Virginia Ross Griffin, PA-C
• Anna Elizabeth Griffith, NP-C
• Grant William Griffith
• Jessica L Griffith, NP
• Rebecca Leigh Griffiths, D.M.D.

• Cognitive & Behavioral Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Cognitive & Behavioral Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.