Individual provider Active NPI

Susan D Wiley, MD

  • Psychiatry Physician
  • Harleysville, PA
National Provider Identifier
1902852296
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD023424E Issued in PA
Practice address
292 Main St Ste 111
Harleysville, PA 19438-2416
Phone
(215) 256-1928
Fax
(833) 963-2137
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD023424E PA Primary

Addresses

Primary practice location

292 Main St Ste 111
Harleysville, PA 19438-2416

Mailing address

292 Main St Ste 111
Harleysville, PA 19438-2416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000643 PA Practitioner - Psychiatry 7618921735 Reassigns benefits to 1 organization
Practice locations: Harleysville, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD023424EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 11, 1981 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 11, 1981 Accepting new patients
Lehigh Valley Hospital Psychiatry Past Accepting new patients

Locations

400 N 17th St
Ste 207
Allentown, PA 18104
Phone (610) 402-2810

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

1259 S Cedar Crest Blvd
Ste 230
Allentown, PA 18103
Phone (610) 402-5900

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

Interoperability endpoints

  • Direct secure messaging: swiley12118@direct2.lvhn.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1902852296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN ST STE 111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST STE 111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382416",
            "telephone_number": "215-256-1928",
            "fax_number": "833-963-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD023424E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.