DR. SUSAN ANN DWYER PHD CLINICAL PSYCHOL
NPI 1508865650
Psychologist - Health Service in Fort Wayne, IN
NPI Status: Active since July 20, 2005
Contact Information
203W WAYNE ST 317
FORT WAYNE, IN
ZIP 46802
Phone: (260) 413-0040
Fax: (260) 344-2820
- Individual
- Female
- Psychologist
- Health Service
About SUSAN DWYER
This page provides the complete NPI Profile along with additional information for Susan Dwyer, a provider established in Fort Wayne, Indiana with a medical specialization in Psychologist, focusing in health service . The healthcare provider is registered in the NPI registry with number 1508865650 assigned on July 2005. The practitioner's primary taxonomy code is 103TH0100X with license number 20041233 (IN). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1508865650
- Provider Name
- DR. SUSAN ANN DWYER PHD CLINICAL PSYCHOL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 203W WAYNE ST 317 FORT WAYNE, IN 46802
- Location Phone
- (260) 413-0040
- Location Fax
- (260) 344-2820
- Mailing Address
- 1702 GLEN ELM DR FORT WAYNE, IN 46845
- Mailing Phone
- (260) 413-0040
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 11-09-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Health Service
- Taxonomy Code
- 103TH0100X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20041233
- License State
- IN
- Taxonomy Description
- A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 924870 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 200142310 | MEDICAID (05) | IN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 6 | 5 | 6 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 6 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 6 + 1 + 0 + 6 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1508865650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508865650, enumerated in the NPI registry as an "individual" on July 20, 2005
The provider is located at 203w Wayne St 317 Fort Wayne, In 46802 and the phone number is (260) 413-0040
The provider's speciality is Psychologist with taxonomy code 103TH0100X with a focus in Health Service
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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