Duangporn Suvansri O'Toole, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS19603 Issued in PA

Practice address

123 King Rd
Chalfont, PA 18914-1703

Phone

(215) 738-6104

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1790402808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 KING RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189141703",
            "telephone_number": "215-738-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 KING RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189141703",
            "telephone_number": "215-738-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "DUANGPORN",
        "middle_name": "SUVANSRI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS19603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nix
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• Jillian Danielle O'Rourke
• Kathleen O'Shea Crocker, MD
• Nicole O'Shurak
• Jennifer Oconnor, M.D.
• Donna Marie Olin, OTR/L
• Marina H. Opdam, PT
• Orthotelerehab LLC
• Kayla Ottey, CRNP-PC

• Clinical Psychologist in Chalfont, PA
• Providers in Chalfont, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.