Individual provider Active NPI

Suzann O'Koon, PHD

  • Psychologist
  • Louisville, KY
National Provider Identifier
1710954086
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1027 Issued in KY
Practice address
9812 Shelbyville Rd
Ste. 4
Louisville, KY 40223-2906
Phone
(502) 939-2987
Fax
(502) 423-1599
NPI assigned
Mar 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1027 KY Primary

Addresses

Primary practice location

9812 Shelbyville Rd
Ste. 4
Louisville, KY 40223-2906

Mailing address

6491 Marina Dr
Prospect, KY 40059-8847
Phone (502) 939-2987

Other identifiers 1

IdentifierTypeStateIssuer
60054OtherKYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20160930000647 KY Practitioner - Clinical Psychologist 0648567933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1027KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
Sondermind Provider Network LLC CurrentSince Mar 2, 2023 Accepting new patients
Jayan Thomas LCSW LLC PastSince Nov 24, 2019 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Interoperability endpoints

  • Direct secure messaging: suzannokoon@tdh.allscriptsdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710954086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6491 MARINA DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400598847",
            "telephone_number": "502-939-2987",
            "fax_number": "502-423-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 SHELBYVILLE RD",
            "address_2": "STE. 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232906",
            "telephone_number": "502-939-2987",
            "fax_number": "502-423-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KOON",
        "first_name": "SUZANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.