Individual provider Active NPI

Suzanne Musil, PHD

  • Clinical Neuropsychologist
  • Midland, MI
National Provider Identifier
1992825699
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301018923 Issued in MI
Practice address
4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone
(989) 488-5007
Fax
(989) 488-5008
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071-006065 IL
Clinical Neuropsychologist 103G00000X 6301018923 MI Primary

Addresses

Primary practice location

4100 Campus Ridge Dr
Midland, MI 48640-6139

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-006065ILMDClinical Neuropsychologist
6301018923MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pate & Culp Psychological Associates, L.L.C. Clinical Neuropsychologist Past Accepting new patients
Atlanta Clinical Health Group Clinical Neuropsychologist PastSince Sep 30, 2004 Accepting new patients
Pate and Culp Psychological Associates PastSince May 4, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smusil132608@mymichiganhealth.midirect.net
  • Direct secure messaging: smusil12955@direct.rush.rush-health.com

Organizations & group practices 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1992825699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406139",
            "telephone_number": "989-488-5007",
            "fax_number": "989-488-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIL",
        "first_name": "SUZANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-006065",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301018923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.