Individual provider Active NPI

Susan C Litton, PH.D.

  • Clinical Psychologist
  • Decatur, GA
National Provider Identifier
1801876149
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1060 Issued in GA
Practice address
2944 Blackwood Rd
Decatur, GA 30033-1012
Phone
(770) 441-6361
Fax
(404) 634-0800
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 1060 GA Primary

Addresses

Primary practice location

2944 Blackwood Rd
Decatur, GA 30033-1012

Mailing address

2944 Blackwood Rd
Decatur, GA 30033-1012
Phone (770) 441-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070626000020 GA Practitioner - Clinical Psychologist 8820197254 Practice locations: Decatur, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2944 Blackwood Rd
Decatur, GA 30033-1012
Phone (770) 441-6361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1060GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1801876149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BLACKWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331012",
            "telephone_number": "770-441-6361",
            "fax_number": "404-634-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 BLACKWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331012",
            "telephone_number": "770-441-6361",
            "fax_number": "404-634-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTON",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.