Individual provider Active NPI

Susan Kay Clavette, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1770903114
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
76322 Issued in KS
Practice address
7171 W 95TH St Ste 210
Overland Park, KS 66212-2249
Phone
(913) 210-6005
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 76322 KS Primary

Addresses

Primary practice location

7171 W 95TH St Ste 210
Overland Park, KS 66212-2249

Mailing address

7171 W 95TH St Ste 210
Overland Park, KS 66212-2249
Phone (913) 210-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804005789 KS Practitioner - Nurse Practitioner 9234443219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan Clavette Integrative Psychiatric NP LLCGroup PAC ID 5597097600, 3 clinicians

Practice addresses (Care Compare)

7171 W 95TH St
Suite 210
Overland Park, KS 66212-2249
Phone (913) 210-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Clavette Integrative Psychiatric NP LLC Psychiatric/Mental Health CurrentSince Oct 3, 2019 Accepting new patients

Locations

7171 W 95th St
Ste 210
Overland Park, KS 66212
Phone (913) 210-6005

12616 W 62nd Ter
Ste 119
Shawnee, KS 66216
Phone (816) 701-9955

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1770903114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 W 95TH ST STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122249",
            "telephone_number": "913-210-6005",
            "fax_number": "913-210-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 W 95TH ST STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122249",
            "telephone_number": "913-210-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVETTE",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "76322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.