Active NPI
Susan Radant, PH.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1710094032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1121
- Practice address
- 2501 2ND Ave N
Seattle, WA 98109-1806 - Phone
- (206) 282-3282
- Fax
- (206) 216-3855
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1121 | WA | Primary |
Addresses
Primary practice location
2501 2ND Ave N
Seattle, WA 98109-1806
Mailing address
2501 2ND Ave N
Seattle, WA 98109-1806
Phone (206) 282-3282
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 |
|---|---|---|---|
| 1121 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1710094032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 2ND AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091806",
"telephone_number": "206-282-3282",
"fax_number": "206-216-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 2ND AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091806",
"telephone_number": "206-282-3282",
"fax_number": "206-216-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADANT",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.