Susan Mortweet Vanscoyoc, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001184 Issued in IA

Practice address

2591 Holiday Rd
Coralville, IA 52241-3039

Phone

(319) 339-1231

Fax

(319) 688-2930

NPI assigned

Mar 3, 2011

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

Other names 1

• Susan Lynn Mortweet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1982902789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E JEFFERSON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452426",
            "telephone_number": "319-351-1448",
            "fax_number": "319-351-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413039",
            "telephone_number": "319-339-1231",
            "fax_number": "319-688-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSCOYOC",
        "first_name": "SUSAN",
        "middle_name": "MORTWEET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MORTWEET",
            "middle_name": "LYNN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.