DR. SUSAN W. BLUE PH.D.
NPI 1366522195
Psychologist in Johnson City, NY

Active since October 16, 2006PECOS Enrolled
804 VALLEY PLZ, JOHNSON CITY, NY 13790(607) 797-1100(607) 797-9514 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan W. Blue Ph.d. NPPES

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

DR. SUSAN W. BLUE PH.D. (NPI 1366522195) is an individual psychologist in Johnson City, New York, licensed in New York (010357-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366522195
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN W. BLUECredential: PH.D.
Location Address804 VALLEY PLZJohnson City, NY 13790-1009
Mailing Address1208 Wildwood LnVestal, NY 13850-3865 · (607) 727-3903
Fax(607) 797-9514
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366522195 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 NY · 010357-1
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.
804 VALLEY PLZ, Johnson City, NY 13790

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan W. Blue Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
804 VALLEY PLZ
JOHNSON CITY, NY 13790
Psychologist (Clinical)
804 VALLEY PLZ
JOHNSON CITY, NY 13790

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 Blue's NPI number?

The NPI number for Susan Blue is 1366522195. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Susan Blue located?

Susan Blue practices at 804 Valley Plz, Johnson City, NY 13790. The listed phone number is (607) 797-1100.

What is Susan Blue's specialty?

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

Is Susan Blue enrolled in Medicare?

Yes. Susan Blue is registered in the Medicare PECOS enrollment system.

What insurance does Susan Blue accept?

Health plans from Providence Health Plan list Susan Blue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Blue was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.