DR. SUSAN L HENDRICKS (NPI# 1174593859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174593859 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L HENDRICKS |
| Credential | M.D. |
| Practice Address |
Unit 15244 Box 3 Usameddac-korea Apo AP 96205-5244 |
| Practice Telephone | 82279175508 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD-5686 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-5686 | HI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-5686 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730169186 | Susan K Hendricks | Obstetrics & Gynecology | 590 15th St S, Apt 145, Arlington, VA 22202-2872 | 2006-01-20 |
| 1023152253 | Susan Spangler Hendricks | Social Worker | 600 King St, Columbia, SC 29205-2313 | 2007-02-19 |
| Street Address |
UNIT 15244 BOX 3 USAMEDDAC-KOREA |
| City | APO |
| State | AP |
| Zip Code | 96205-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134201478 | Christian Jerril Smith | Psychiatry & Neurology | Psc 9 Box 0, Apo, AE 09123-9998 | 2006-10-19 |
| 1255374831 | Alison Monds Ward | Psychiatry & Neurology | Box 55 Unit 26610, Apo, AE 09244 | 2006-06-13 |
| 1073576591 | Jon Jason O'pry | Psychiatry & Neurology | Raf Lakenheath 48 Mdg/sgot, Unit 5210 Box 230, Apo, AE 09461-0230 | 2006-04-07 |
| 1609181510 | Matthew James Baker | Psychiatry & Neurology | 52 Mdg Unit 3690, Apo, AE 09126-3690 | 2010-08-16 |
| 1114170271 | Michael Patrick Zeola | Psychiatry & Neurology | Unit 3215, Apo, AE 09094-3215 | 2008-11-02 |
| 1982663936 | Steve M Morris | Psychiatry & Neurology | Cmr 442, Box 493, Apo, AE 09042-0493 | 2006-03-20 |
| 1730178104 | Jennifer Chow | Psychiatry & Neurology | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2005-10-18 |
| 1235127614 | James Carter Cooper II | Psychiatry & Neurology | Unit 5210 Box 230, Apo, AE 09461-0230 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919459 | Heidi Lyszczarz | Psychiatry & Neurology | Psc 482, Box 3054, Fpo, AP 96362 | 2006-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.