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DR. SUSAN COOK MAYTORENA PH.D.
NPI 1609098227
Psychologist - Clinical in Alexandria, VA

Active since May 03, 2007Opted out of Medicare · through Oct 1, 2026
629 S. WASHINGTON ST., ALEXANDRIA, VA 22314(703) 519-6770(703) 229-0801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Cook Maytorena Ph.d. NPPES

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

DR. SUSAN COOK MAYTORENA PH.D. (NPI 1609098227) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0810000296) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609098227
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN COOK MAYTORENACredential: PH.D.
Location Address629 S. WASHINGTON ST.Alexandria, VA 22314
Mailing Address629 S. Washington St.Alexandria, VA 22314 · (703) 519-6770 · Fax (703) 229-0801
Phone(703) 519-6770
Fax(703) 229-0801
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609098227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810000296
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
629 S. WASHINGTON ST., Alexandria, VA 22314
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan Cook Maytorena Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Maytorena's NPI number?

The NPI number for Susan Maytorena is 1609098227. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Susan Maytorena located?

Susan Maytorena practices at 629 S. Washington St., Alexandria, VA 22314. The listed phone number is (703) 519-6770.

What is Susan Maytorena's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Susan Maytorena enrolled in Medicare?

No. Susan Maytorena has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Maytorena 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.