PAUL LYNN SUSIC MA
NPI 1790707123
Psychologist - Health Service in St. Charles, MO

Q: What is Paul Susic's NPI number?

The NPI number for Paul Susic is 1790707123. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Paul Susic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Paul Susic 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.

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment

2451 EXECUTIVE DR. STE. 103, ST. CHARLES, MO 63303(636) 300-9922 Get Directions Write a Review

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

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About Paul Lynn Susic Ma NPPES

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

PAUL LYNN SUSIC MA (NPI 1790707123) is an individual health service provider in St. Charles, Missouri, licensed in Missouri (01802) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790707123

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NamePAUL LYNN SUSICCredential: MA

Location Address2451 EXECUTIVE DR. STE. 103St. Charles, MO 63303

Mailing Address350 Trailhead WayDardenne Prairie, MO 63368 · (636) 300-9922

Phone(636) 300-9922

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790707123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in MO · 01802

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

2451 EXECUTIVE DR. STE. 103, St. Charles, MO 63303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Lynn Susic Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234105123

PECOS Enrollment IDI20041007000266

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

863 services67 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

804 services63 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

30 services30 patients

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 Paul Susic's NPI number?

The NPI number for Paul Susic is 1790707123. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Paul Susic located?

Paul Susic practices at 2451 Executive Dr. Ste. 103, St. Charles, MO 63303. The listed phone number is (636) 300-9922.

What is Paul Susic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Paul Susic enrolled in Medicare?

Yes. Paul Susic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Susic accept?

Health plans from Medica list Paul Susic 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 Paul Susic 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.