1. Home
  2. Directory
  3. Maryland
  4. Chevy Chase
  5. Psychologist
  6. NPI Profile

DR. SUSAN SONNICHSEN WILSON PHD
NPI 1609315290
Psychologist - Clinical Child & Adolescent in Chevy Chase, MD

Active since February 16, 2017Opted out of Medicare · through Feb 20, 2027
8401 CONNECTICUT AVE STE 1120, CHEVY CHASE, MD 20815(301) 593-6554(301) 754-1034 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2021, Feb 16, 2017 (2 updates tracked since 2017).

About Dr. Susan Sonnichsen Wilson Phd NPPES

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

DR. SUSAN SONNICHSEN WILSON PHD (NPI 1609315290) is an individual clinical child & adolescent provider in Chevy Chase, Maryland, licensed in Maryland (05902) and active in the NPI registry since February 2017. She has opted out of Medicare through February 20, 2027.

NPPES Registry Identity

NPI1609315290
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. SUSAN SONNICHSEN WILSONCredential: PHD
Location Address8401 CONNECTICUT AVE STE 1120Chevy Chase, MD 20815-5846
Mailing Address3200 Tower Oaks Blvd Ste 200Rockville, MD 20852-4265 · (301) 593-6554 · Fax (301) 754-1034
Phone(301) 593-6554
Fax(301) 754-1034
Sole ProprietorNo
Enumeration DateFebruary 16, 2017
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
✔ NPI 1609315290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 05902
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
8401 CONNECTICUT AVE STE 1120, Chevy Chase, MD 20815
Open in Google Maps ↗

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 Sonnichsen Wilson Phd 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 February 20, 2017 through February 20, 2027.

Opt-Out Effective DateFebruary 20, 2017
Opt-Out In Effect ThroughFebruary 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

DR. RACHEL ELIZABETH WEINSTOCK PHD
Psychologist
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (336) 209-3622
DR. ERIN ELIZABETH LEWIS-MORRARTY PH.D.
Psychologist (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 593-6554
DR. SAMANTHA REAVES PHD
Psychologist (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 593-6554
KELLY TRIMBLE LCSWC, LICSW
Social Worker (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 593-6554
DR. JASON RINGO PHD
Psychologist (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 593-6554
RACHEL YUTZY LICSW
Social Worker
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 593-6554
DR. LEMUEL YUTZY LCSW-C
Social Worker (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (610) 279-9270
ANDREW JEFFREY ROSS
Psychologist (Clinical)
8401 CONNECTICUT AVE STE 1120
CHEVY CHASE, MD 20815
Montgomery County (301) 767-5482

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 Wilson's NPI number?

The NPI number for Susan Wilson is 1609315290. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Susan Wilson located?

Susan Wilson practices at 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815. The listed phone number is (301) 593-6554.

What is Susan Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Susan Wilson enrolled in Medicare?

No. Susan Wilson has opted out of Medicare through February 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Wilson was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.