Mary Susan Vann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3564 Issued in WA

Practice address

660 Jadwin Ave Ste E
Richland, WA 99352-4241

Phone

(509) 528-4574

NPI assigned

Mar 28, 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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• CSC Hanford Occupational Health Services

  • Occupational Medicine Clinic/Center
  • Richland, WA
  • NPI 1689792335
  NPD (past)
• Isumataq Corporation

  • Clinical Psychologist
  • Richland, WA
  • NPI 1114094471
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1891814349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 JADWIN AVE STE E",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524241",
            "telephone_number": "509-528-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 JADWIN AVE STE E",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524241",
            "telephone_number": "509-528-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robert Vandyken, D.C.
• Pajyeebsuab Vang, COTA
• Darian Jerald Vangorkum, DPM
• Elayne Nicole Vanhollebeke
• David Kent Vankirk, CCP
• Nathan Vanvickle, CRNA
• Kishore SHM Varada, PA-C
• Veda Lakshmi Anjali Varada, PHYSICIAN ASSISTANT
• Daisy Vargas
• Nithin Varghese, REGISTERED NURSE

• Clinical Psychologist in Richland, WA
• Providers in Richland, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.