Active NPI
Suzanne F. Bates, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1942410055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Practice address
- 425 E Washington St
Suite 106 South
Ann Arbor, MI 48104-2024 - Phone
- (734) 668-0077
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | MI | Primary |
Addresses
Primary practice location
425 E Washington St
Suite 106 South
Ann Arbor, MI 48104-2024
Mailing address
425 E Washington St
Suite 106 South
Ann Arbor, MI 48104-2024
Phone (734) 668-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 1, 2016 through Jun 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3405 | NC | MD | Professional Counselor |
| 631007631 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942410055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E WASHINGTON ST",
"address_2": "SUITE 106 SOUTH",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042024",
"telephone_number": "734-668-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E WASHINGTON ST",
"address_2": "SUITE 106 SOUTH",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042024",
"telephone_number": "734-668-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "SUZANNE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.