DR. SUSANNAH MORE (NPI# 1770828287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770828287 |
| Entity Type | Individual |
| Full Name | DR. SUSANNAH MORE |
| Credential | PH.D. |
| Practice Address |
302 Randall Rd Geneva IL 60134-4209 |
| Practice Telephone | 6305245845 |
| Practice Fax Number | 6302083007 |
| Mailing Telephone | 6305245845 |
| Mailing Fax Number | 6302083007 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 071.007768 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071.007768 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE (GROUP PTAN) | 206147 | 01 |
| IL | MEDICARE (INDIVIDUAL PTAN) | F400100849 | 01 |
| IL | 071007768 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 N Winfield Rd, Winfield, IL 601901295 | 6305245845 | 6309335868 |
| Street Address |
302 RANDALL RD |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1518320191 | Christine Polz | Nurse Practitioner | 302 Randall Rd, Suite 202, Geneva, IL 60134-4209 | 2016-04-01 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| 1245587997 | Thomas Edward Skoumal | Dentist | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2012-08-13 |
| 1811253677 | Brittany Summer Panico | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-04-05 |
| 1568783991 | Elizabeth A Lowden | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2010-06-21 |
| 1194043455 | Niveditha Christodoss | Counselor | 302 Randall Rd, Ll30, Geneva, IL 60134-4209 | 2010-05-12 |
| 1659697100 | Jay Liu | Internal Medicine | 302 Randall Rd, Geneva, IL 60134 | 2010-04-08 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
| 1285861179 | David Giangreco | Internal Medicine | 302 Randall Rd, Suite 307b, Geneva, IL 60134-4209 | 2009-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194789792 | Lisa A Riemenschneider | Clinical Neuropsychologist | 302 Randall Rd, Geneva, IL 60134-4209 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183556 | Michelle Yvonne Kibby-faglier | Clinical Neuropsychologist | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1043877475 | Sarah Mailander Dyer | Clinical Neuropsychologist | 900 Royal Heights Rd Ste 14, Belleville, IL 62226-5457 | 2019-05-21 |
| 1639655632 | Julia Digangi | Clinical Neuropsychologist | 920 N York Rd, Hinsdale, IL 60521-2996 | 2018-07-13 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1538690466 | Kathleen Ares | Clinical Neuropsychologist | 4440 W 95th, Suite 1200h, Oak Lawn, IL 60453 | 2017-03-22 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1013462829 | Ann Westcot Jordan | Clinical Neuropsychologist | 21037 Benjamin Dr, Shorewood, IL 60404-0612 | 2016-08-22 |
| 1740638915 | Elizabeth Regina Tuminello Hartman | Clinical Neuropsychologist | 1875 Dempster St Ste 520, Park Ridge, IL 60068-1130 | 2016-05-29 |
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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.