Susan Speraw, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1909 Issued in TN

Practice address

2120 Northgate Park LN Ste 201
Chattanooga, TN 37415-6952

Phone

(423) 870-5647

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• New Beginnings Counseling Center PLLC

  • Adult Mental Health Clinic/Center
  • Chattanooga, TN
  • NPI 1265509137
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1780281956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 NORTHGATE PARK LN STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156952",
            "telephone_number": "423-870-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 NORTHGATE PARK LN STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156952",
            "telephone_number": "423-870-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERAW",
        "first_name": "SUSAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Yvonne Spencer, M.D.
• Natasha Tomeka Spencer, MSW
• Richard R Spencer, CRNA
• Cassandra Joan Speno
• Nathalie Helene Spiesser, BCBA
• Spine Surgery Associates, P.C.
• Christian Spining
• Spirit Medical, LLC
• Jessica May Sponaugle, DO

• Clinical Psychologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.