Susan Talmage, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2-4635 Issued in TX

Practice address

1412 Main St
Ste 320
Dallas, TX 75202-4014

Phone

(214) 760-1964

Fax

(214) 760-9505

NPI assigned

Mar 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Counseling and Diagnostic Center, LLC

  • Counselor
  • Addison, TX
  • NPI 1356754527
  NPD (past) Authorized official
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  NPD (past)
• James E, Williams

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1275640807
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1801920715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 HORSESHOE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093324",
            "telephone_number": "214-760-1964",
            "fax_number": "214-760-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MAIN ST",
            "address_2": "STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024014",
            "telephone_number": "214-760-1964",
            "fax_number": "214-760-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMAGE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-4635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096639201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Talley, MA, LPC
• Curtis D Talley Jr., ATC
• Schelandria Renee' Tallie, M.A. L.C.D.C
• Scott Tally
• John Mills Talmadge, M.D.
• Kendarius S Talton, NURSE PRACTITIONER
• Earl Kenneth Tam, DO
• Gary S Tam, DC
• Mira Maya Tamang, NP
• Pamela Tamang

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.