Dr. Suzanne Veilleux, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1230 Issued in SC

Legal business name

DR. SUZANNE VEILLEUX, LLC

Practice address

29 Plantation Park Dr Ste 108
Bluffton, SC 29910-9010

Phone

(843) 368-6937

Fax

(843) 815-2313

NPI assigned

Aug 2, 2017

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Veilleux, PH.D.NPI 1316297245

Title

President/Owner

Phone

(843) 368-6937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Veilleux, PH.D., J.D.

  • Psychologist
  • Bluffton, SC
  • NPI 1316297245
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1710401476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BASSWOOD CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104455",
            "telephone_number": "843-757-7391",
            "fax_number": "843-757-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 108",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109010",
            "telephone_number": "843-368-6937",
            "fax_number": "843-815-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUZANNE VEILLEUX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-05-01",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "VEILLEUX",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "843-368-6937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.