Susan Michelle Andrews, PSY.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1453 Issued in FL

Practice address

45453 State Road 19
Altoona, FL 32702-9220

Phone

(352) 348-6989

NPI assigned

Dec 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Neurodiversity, LLC

  • School Psychologist
  • Leesburg, FL
  • NPI 1659157428
  NPD Authorized official
• Lake Neurodiversity, LLC

  • School Psychologist
  • Leesburg, FL
  • NPI 1790544658
  NPD Authorized official

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1972199008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45453 STATE ROAD 19",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "327029220",
            "telephone_number": "352-348-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45453 STATE ROAD 19",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "327029220",
            "telephone_number": "352-348-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Creatures Loving Care Inc
• Jennifer Leigh Allen, MS ED CCC-SLP
• Clark Clinic Inc
• Community Supports, Inc.
• Community Supports, Inc. (Rehabilitation and Health Care Center)
• Dynamic Disruption LLC
• Sarah Frabott

• School Psychologist in Altoona, FL
• Providers in Altoona, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.