Susanna Leigh L Epp PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SUSANNA LEIGH L EPP PSYD

Practice address

640 E Whidbey Ave
Oak Harbor, WA 98277-5901

Phone

(360) 559-1446

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Susanna Leigh L. Epp, PSYDNPI 1952607723

Title

Clinical Psychologist

Phone

(808) 392-2098

Specialties & licenses 2

Addresses

Other names 1

• Kalei Integrative Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Susanna Leigh Letoto Epp, PSYD

  • Clinical Psychologist
  • Bellingham, WA
  • NPI 1952607723
  NPD Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1922570977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOUISE VIEW DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775901",
            "telephone_number": "360-559-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32650 SR 20 Ste E-203",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "98277",
            "country_code": "US",
            "telephone_number": "808-392-2098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSANNA LEIGH L EPP PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "EPP",
        "authorized_official_first_name": "SUSANNA LEIGH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-392-2098",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalei Integrative Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kalei Integrative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Oak Harbor, WA
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.