Susan Spilman, PHD.
Individual provider Active NPI Clinical Psychologist · Hyannis, MA
NPI 1992735476 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992735476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6638 (MA)
- Practice address
- 27 Park St
Psych Center - Cape Cod Hospital
Hyannis, MA 02601-5230 - Phone
- (508) 862-5566
- Fax
- (508) 862-7387
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grow Healthcare Group PA
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230927000606 | FL | Practitioner - Clinical Psychologist | 9537189030 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6638 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current |
Accepting new patients | |
| Dr. Gerald P. Elovitz, P.C. | Past | Accepting new patients | |
| Limbic Resources | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6638 | MA | Yes |
Addresses
Primary practice location
27 Park St
Psych Center - Cape Cod Hospital
Hyannis, MA 02601-5230
Mailing address
PO Box 2074
Brewster, MA 02631-8074
Phone (508) 430-8489
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05243 | Other | MA | BCBS |
| 0511986 | Medicaid | MA |
Other providers in Hyannis, MA
- Southeastern Vascular, P.C.
- Julie Souza
- Haven William Spencer
- Jeffrey J Spillane
- Stephen Andrew Spillane
- Leah Staats
- Karl C. Stajduhar
- Jaime Lynne Staniels
- Rebecca Stanley
- Jodi Starck
All providers in Hyannis, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.