Active NPI
Stacy Suh
- Psychologist
- Wheaton, IL
National Provider Identifier
1922708023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 712 Irving Ave
Wheaton, IL 60187-4257 - Phone
- (201) 705-3078
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
712 Irving Ave
Wheaton, IL 60187-4257
Mailing address
7 W 36TH St FL 15
New York, NY 10018-7151
Phone (212) 203-9792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OSC05699186-03 | Other | OSCAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Reeds Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1174960231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1922708023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 W 36TH ST FL 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187151",
"telephone_number": "212-203-9792",
"fax_number": "212-320-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 IRVING AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874257",
"telephone_number": "201-705-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "STACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSCAR",
"identifier": "OSC05699186-03",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.