DR. SUSAN K PATRICK PSY.D.
NPI 1396895363
Psychologist in Flagstaff, AZ

Active since January 11, 2007PECOS Enrolled
617 N HUMPHREYS ST STE 101, FLAGSTAFF, AZ 86001(928) 779-3783(928) 773-1150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan K Patrick Psy.d. NPPES

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

DR. SUSAN K PATRICK PSY.D. (NPI 1396895363) is an individual psychologist in Flagstaff, Arizona, licensed in Arizona (3789) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396895363
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN K PATRICKCredential: PSY.D.
Location Address617 N HUMPHREYS ST STE 101Flagstaff, AZ 86001-3063
Mailing Address617 N Humphreys St Ste 101Flagstaff, AZ 86001-3063 · (928) 779-3783 · Fax (928) 773-1150
Fax(928) 773-1150
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396895363 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 AZ · 3789
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.
617 N HUMPHREYS ST STE 101, Flagstaff, AZ 86001

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 K Patrick Psy.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

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

Psychologist (Clinical)
617 N HUMPHREYS ST STE 101
FLAGSTAFF, AZ 86001

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 Patrick's NPI number?

The NPI number for Susan Patrick is 1396895363. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Susan Patrick located?

Susan Patrick practices at 617 N Humphreys St Ste 101, Flagstaff, AZ 86001. The listed phone number is (928) 779-3783.

What is Susan Patrick's specialty?

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

Is Susan Patrick enrolled in Medicare?

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

What insurance does Susan Patrick accept?

Health plans from Oscar Health Plan, Inc. list Susan Patrick 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 Patrick 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.