SUSAN P. DETRICK PHD
NPI 1205881885
Psychologist in San Jose, CA

Active since May 23, 2006
1555 PARKMOOR AVE, SAN JOSE, CA 95128(408) 282-0402 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan P. Detrick Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN P. DETRICK PHD (NPI 1205881885) is an individual psychologist in San Jose, California, licensed in California (PSY5071) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205881885
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSAN P. DETRICKCredential: PHD
Location Address1555 PARKMOOR AVESan Jose, CA 95128-2407
Mailing Address1555 Parkmoor AveSan Jose, CA 95128-2407 · (408) 282-0402
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205881885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY5071
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1555 PARKMOOR AVE, San Jose, CA 95128

Other Identifiers 1

Medicare ID-Type Unspecified00PL50712CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Psychiatry & Neurology (Psychiatry)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Registered Nurse
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Detrick's NPI number?

The NPI number for Susan Detrick is 1205881885. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Susan Detrick located?

Susan Detrick practices at 1555 Parkmoor Ave, San Jose, CA 95128. The listed phone number is (408) 282-0402.

What is Susan Detrick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Susan Detrick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.