Suzanne M St. John, PH.D.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

P85822 Issued in NY

Practice address

25 Washington Lane
Suite a-8 Wyncote House
Wyncote, PA 19095

Phone

(215) 885-5585

Fax

(215) 886-7472

NPI assigned

Sep 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1861726317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON LANE",
            "address_2": "SUITE A-8 WYNCOTE HOUSE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-885-5585",
            "fax_number": "215-886-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON LANE",
            "address_2": "SUITE A-8 WYNCOTE HOUSE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-885-5585",
            "fax_number": "215-886-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "VT",
            "license": "098.0000151",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "P85822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOANALYST",
            "identifier": "098.0000151",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOANALYST",
            "identifier": "098.0000151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Center of Wyncote, LLC
• Kim Linh Son, PHARM.D
• Jin Kyung Song, RPH
• Charnae Spady Ward
• Louise Hope Speirs, MSCCC SLP
• Janet S. Stanley, M.S. CLINICAL PSYCHO
• Regina E Stanton, CRNP
• Colin Michael Stiles
• Audrey Stitt
• Ellen B. Taupin, PH.D.

• Psychoanalyst in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Psychoanalyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.