Active NPI
Susan Pennza
- Psychologist
- East Cleveland, OH
National Provider Identifier
1821412107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- UA1014718
- Practice address
- 1843 Stanwood Rd
East Cleveland, OH 44112-2901 - Phone
- (216) 268-6688
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | UA1014718 | OH | Primary |
Addresses
Primary practice location
1843 Stanwood Rd
East Cleveland, OH 44112-2901
Mailing address
1843 Stanwood Rd
East Cleveland, OH 44112-2901
Phone (216) 268-6688
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UA1014718 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1821412107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 STANWOOD RD",
"city": "EAST CLEVELAND",
"state": "OH",
"postal_code": "441122901",
"telephone_number": "216-268-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 STANWOOD RD",
"city": "EAST CLEVELAND",
"state": "OH",
"postal_code": "441122901",
"telephone_number": "216-268-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNZA",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "UA1014718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.