Susan T Arnold, PHD
Individual provider Active NPI Clinical Psychologist · Carmel, IN
NPI 1891723193 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1891723193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 20040135A (IN)
- Practice address
- 484 E Carmel Dr
Ste 376
Carmel, IN 46032 - Phone
- (800) 257-8715
- Fax
- (800) 819-1655
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20040135A | IN | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20040135A | IN | Yes |
Addresses
Primary practice location
484 E Carmel Dr
Ste 376
Carmel, IN 46032
Mailing address
4715 Viewridge Ave
Ste 230
San Diego, CA 92123-1680
Phone (800) 257-8715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000258778 | Other | IN | ANTHEM |
| 100063760B | Medicaid | IN | |
| 680014856 | Other | IN | RAILROAD |
Other providers in Carmel, IN
- Amy L Arens
- Stephanie L Armbrester
- Abriel Armstrong
- Alaizha Armstrong
- Brian Donald Armstrong
- William N. Arnold
- Arrow Consultation Services, Inc.
- Artemis Indianapolis LLC
- Debra Arthur
- Ary Medical LLC
All providers in Carmel, IN · Clinical Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.