Susana Marlene Probyn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5724 Issued in AZ

Practice address

6047 E University Dr
Mesa, AZ 85205-7517

Phone

(480) 095-3040

Fax

(480) 985-3040

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1524 Corporation Inc.

  dba Dr. Sue Probyn

  • Chiropractor
  • Mesa, AZ
  • NPI 1174793004
  Authorized official Same address or phone

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1871616938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 S 73RD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082709",
            "telephone_number": "480-985-6745",
            "fax_number": "480-985-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057517",
            "telephone_number": "480-095-3040",
            "fax_number": "480-985-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBYN",
        "first_name": "SUSANA",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRN Diagnostics LLC
• Pro Active Chiropractic and Sports Medicine PLLC (Pro Active Chiropractic)
• Pro-Healthcare LLC
• Alyssa Probert, LCSW
• Clinton Probst, LMSW
• Andrew Proctor, DPT
• Linda M Proctor
• Linda Susan Proctor
• Prodigee Hospitalists P.C.
• Prodigee Inpatient Physicians Group, P.L.L.C.

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.