Active NPI
Susan L. Mejo, ARNP
- Psychologist
- Longview, WA
National Provider Identifier
1831265982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00001808
- Practice address
- 600 Broadway St
Longview, WA 98632-3256 - Phone
- (360) 414-2236
- Fax
- (360) 414-2024
- NPI assigned
- Nov 28, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00001808 | WA | Primary |
| Registered Nurse | 163W00000X | RN00035482 | WA | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN00035482 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30000920 | WA |
Addresses
Primary practice location
600 Broadway St
Longview, WA 98632-3256
Mailing address
PO Box 3002
Longview, WA 98632-0302
Phone (360) 414-2048
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8929455 | Other | WA | CRIME VICTIMS |
| 0144976 | Other | WA | LABOR & IND. |
| 292799 | Medicaid | OR | |
| 9614116 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001808 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831265982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3002",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986320302",
"telephone_number": "360-414-2048",
"fax_number": "360-575-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BROADWAY ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323256",
"telephone_number": "360-414-2236",
"fax_number": "360-414-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJO",
"first_name": "SUSAN",
"middle_name": "L.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00001808",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00035482",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "WA",
"license": "RN00035482",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30000920",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8929455",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & IND.",
"identifier": "0144976",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292799",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9614116",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.