Organization Active NPI

Suzanne K. Zoss, PH.D., P.a.

  • Clinical Psychologist
  • Pensacola, FL
National Provider Identifier
1902887268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 3413 Issued in FL
Legal business name
SUZANNE K. ZOSS, PH.D., P.A.
Practice address
4300 Bayou Blvd
Suite 35
Pensacola, FL 32503-1949
Phone
(850) 479-6080
Fax
(850) 479-3011
NPI assigned
Nov 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suzanne K. Zoss, PH.D.
Title
President
Phone
(850) 291-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY 3413 FL Primary

Addresses

Primary practice location

4300 Bayou Blvd
Suite 35
Pensacola, FL 32503-1949

Mailing address

1115 Watson Ave
Pensacola, FL 32503-6573
Phone (850) 291-2568

Other names 1

  • Suzanne K. Zoss, Ph.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

4300 Bayou Blvd
Ste 35
Pensacola, FL 32503
Phone (850) 479-6080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902887268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WATSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036573",
            "telephone_number": "850-291-2568",
            "fax_number": "850-435-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD",
            "address_2": "SUITE 35",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031949",
            "telephone_number": "850-479-6080",
            "fax_number": "850-479-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE K. ZOSS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOSS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-291-2568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne K. Zoss, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.