NPIMap

Individual provider Active NPI

David Suire, PH.D.

  • Clinical Psychologist
  • Plainfield, IL
National Provider Identifier
1992095889
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006216 Issued in IL
Practice address
24402 W Lockport St
Suite 218
Plainfield, IL 60544-4206
Phone
(815) 609-1544
Fax
(815) 609-1670
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006216 IL Primary

Addresses

Primary practice location

24402 W Lockport St
Suite 218
Plainfield, IL 60544-4206

Mailing address

24402 W Lockport St
Suite 218
Plainfield, IL 60544-4206
Phone (815) 609-1544

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.006216ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhes Medical Group, LLC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1992095889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT ST",
            "address_2": "SUITE 218",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444206",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT ST",
            "address_2": "SUITE 218",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444206",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUIRE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.