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SUSAN ADDIS PHD PA
NPI 1790150977
Counselor - Professional in Orlando, FL

Active since December 14, 2015
10359 ORANGEWOOD BLVD, ORLANDO, FL 32821(352) 870-5302 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Susan Addis Phd Pa NPPES

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

SUSAN ADDIS PHD PA (NPI 1790150977) is a healthcare organization registered as a professional in Orlando, Florida and active in the NPI registry since December 2015. The organization lists Susan Addis, President, as its authorized official.

NPPES Registry Identity

NPI1790150977
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSUSAN ADDIS PHD PA
Location Address10359 ORANGEWOOD BLVDOrlando, FL 32821-8239
Mailing Address12653 Arley DrWindermere, FL 34786-6620 · (352) 870-5302
Phone(352) 870-5302
Organization SubpartNo
Authorized OfficialSusan AddisPresident · (352) 870-5302
Enumeration DateDecember 14, 2015
✔ NPI 1790150977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · PY 5626
10359 ORANGEWOOD BLVD, Orlando, FL 32821
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Addis Phd PA's NPI number?

The NPI number for Susan Addis Phd PA is 1790150977. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Susan Addis Phd PA located?

Susan Addis Phd PA is located at 10359 Orangewood Blvd, Orlando, FL 32821. The listed phone number is (352) 870-5302.

What is Susan Addis Phd PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Susan Addis Phd PA was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.