Individual provider Active NPI

Susan Nancy Lavelle Ficke, PSY.D.

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1811573181
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
7850 Camargo Rd
Cincinnati, OH 45243-2652
Phone
(513) 271-9700
Fax
(513) 271-0700
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

7850 Camargo Rd
Cincinnati, OH 45243-2652

Mailing address

7850 Camargo Rd
Cincinnati, OH 45243-2652
Phone (513) 271-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1811573181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 CAMARGO RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432652",
            "telephone_number": "513-271-9700",
            "fax_number": "513-271-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 CAMARGO RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432652",
            "telephone_number": "513-271-9700",
            "fax_number": "513-271-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE FICKE",
        "first_name": "SUSAN",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.