Individual provider Active NPI

Susan Flinders, PH. D.

  • Clinical Psychologist
  • White Lake, MI
National Provider Identifier
1720156672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007552 Issued in MI
Practice address
1097 Union Lake Rd
Suite D
White Lake, MI 48386-4516
Phone
(248) 363-4420
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301007552 MI Primary

Addresses

Primary practice location

1097 Union Lake Rd
Suite D
White Lake, MI 48386-4516

Mailing address

2520 Jackson Blvd
Highland, MI 48356-1546
Phone (810) 444-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081121000346 MI Practitioner - Clinical Psychologist 3779643630 Reassigns benefits to 1 organization
Practice locations: Commerce Township, MI; Chelsea, MI; Bloomfield, MI; Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

32841 Middlebelt Rd
Suite 403
Farmington Hills, MI 48334-1714
Phone (734) 761-2727

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720156672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 JACKSON BLVD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483561546",
            "telephone_number": "810-444-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 UNION LAKE RD",
            "address_2": "SUITE D",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864516",
            "telephone_number": "248-363-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINDERS",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

Verify at the official NPI Registry.