Susan Eick PSYD Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUSAN EICK PSYD INC

Practice address

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294

Phone

(434) 993-8124

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Susan Eick, PSYDNPI 1124119516

Title

Owner

Phone

(434) 933-8124

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Susan Eick, PSY.D

  • Clinical Psychologist
  • Lynchburg, VA
  • NPI 1124119516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1982367942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 SMOKY HOLLOW RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245044347",
            "telephone_number": "434-993-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-993-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN EICK PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "EICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-933-8124",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "susaneickpsyd@gmail.com",
            "affiliation": "N",
            "address_1": "137 Laxton Rd Ste 200",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245025294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Roy Sumfest
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• Suzanne Henri, Inc
• Suzanne R Eaton Psy.D. PLLC

• Clinical Psychologist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.