DR. SUSANNE MUMBY (NPI# 1174984355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174984355 |
| Entity Type | Individual |
| Full Name | DR. SUSANNE MUMBY |
| Credential | PSY.D. |
| Practice Address |
7034 S 44th Ln Laveen AZ 85339-2215 |
| Practice Telephone | 6025000274 |
| Mailing Telephone | 6025000274 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY-005166 | Behavioral Health & Social Service Providers | |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
005166 | AZ | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 555855 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 E Tulare Ave, Visalia, CA 932923629 | 5596230943 | |
| 14780 W Mountain View Blvd Ste 110, Surprise, AZ 853747280 | 6233747774 | 8559591911 |
| Street Address |
7034 S 44TH LN |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170641 | Mylena Dashaun Smith | Psychologist | 2812 N. Norwalk St Bldg. 14, Ste 127 & 128, Mesa, AZ 85215 | 2019-02-19 |
| 1205300365 | Eloisa Millan Rodriguez | Psychologist | 3929 W Irwin Ave, Phoenix, AZ 85041-6045 | 2019-01-11 |
| 1093914079 | John A Moran | Psychologist | 7500 E Mcdonald Dr # 400a, Scottsdale, AZ 85250-6052 | 2007-07-11 |
| 1952486961 | Forensic Counseling & Evaluations | Psychologist | 8350 E Raintree Dr, Suite 120, Scottsdale, AZ 85260-2695 | 2006-10-26 |
| 1447480538 | John Philip Dibacco | Psychologist | 11811 N Tatum Blvd, P115, Phoenix, AZ 85028-1614 | 2009-07-23 |
| 1902065667 | Gary Alan Freitas | Psychologist | 3250 W Lower Buckeye Rd, Suite 2800, Phoenix, AZ 85009-6729 | 2008-06-06 |
| 1508025974 | Bruce Allen Kushner | Psychologist | 3250 W Lower Buckeye Rd, 2100, Phoenix, AZ 85009-6729 | 2008-06-02 |
| 1902072937 | Joseph John Lang | Psychologist | 925 W Baseline Rd, Pmb 105-k5, Tempe, AZ 85283-1100 | 2008-04-30 |
| 1346444114 | Steven R. Gray | Psychologist | 1930 S Alma School Rd, Suite B120, Mesa, AZ 85210-3064 | 2007-06-13 |
| 1114141587 | Gary I Perrin | Psychologist | 5151 E Broadway Blvd, Suite 720, Tucson, AZ 85711-3705 | 2007-04-13 |
| Find all providers with the same taxonomy | ||||
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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.