Active NPI
Susan Virginia Sances, PSY.D.
- Psychologist
- Evanston, IL
National Provider Identifier
1992810287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071003849
- Practice address
- 708 Church St
219
Evanston, IL 60201-3875 - Phone
- (312) 802-4000
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071003849 | IL | Primary |
Addresses
Primary practice location
708 Church St
219
Evanston, IL 60201-3875
Mailing address
821 Michigan Ave
Evanston, IL 60202-4436
Phone (312) 802-4000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071003849 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1992810287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 MICHIGAN AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602024436",
"telephone_number": "312-802-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 CHURCH ST",
"address_2": "219",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013875",
"telephone_number": "312-802-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCES",
"first_name": "SUSAN",
"middle_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071003849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.