DR. SUSAN JOANNA IRELAND (NPI# 1154547164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154547164 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JOANNA IRELAND |
| Credential | PH.D. |
| Practice Address |
1611 Nw 12th Ave Rehabilitation Hospital Center Miami FL 33136-1005 |
| Mailing Address |
430 Ne 52nd St Miami FL 33137-3031 |
| Practice Telephone | 3055851267 |
| Practice Fax Number | 3053554715 |
| Mailing Telephone | 3055467674 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PY 5603 | FL | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY 5603 | FL | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
PY 5603 | FL | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PY 5603 | FL | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PY 5603 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467572685 | Susan Elizabeth Ireland | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2007-03-30 |
| 1619591260 | Susan M Ireland | Counselor | 10603 Downey Ave, Downey, CA 90241-3426 | 2020-05-29 |
| 1346788593 | Susan Ireland | Counselor | 500 N Morain St Ste 1250, Kennewick, WA 99336-2967 | 2017-02-08 |
| 1679858625 | Susan Dawn Ireland | Nurse Practitioner | 28963 Little Mack Ave, Suite101, Saint Clair Shores, MI 48081-3017 | 2011-10-20 |
| Street Address |
1611 NW 12TH AVE REHABILITATION HOSPITAL CENTER |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1497132039 | Samuel Feldman Ph.d | Clinical Neuropsychologist | 2110 Ne 206th St, Miami, FL 33179-2229 | 2015-05-04 |
| 1790174563 | Madiley Broz | Clinical Neuropsychologist | 1800 Sw 85th Ave, Miami, FL 33155-1015 | 2015-01-16 |
| 1477941003 | Dianelys S. Netto | Clinical Neuropsychologist | 8621 Sw 121st St, Miami, FL 33156-5117 | 2015-01-06 |
| 1982017513 | Envision Wellness Co. | Clinical Neuropsychologist | 1900 Sw 57th Ave Ste 2, Miami, FL 33155-2170 | 2014-06-11 |
| 1669716247 | Larry Brooks, Ph.d., LLC | Clinical Neuropsychologist | 80 Sw 8th St Ste 2185, Miami, FL 33130-3004 | 2012-11-20 |
| 1669613642 | Eileen Da Pena | Clinical Neuropsychologist | 2250 Nw 114th Ave, Unit 1p, Pty 1457, Miami, FL 33192 | 2009-03-20 |
| 1609017342 | Pedro Alejandro Saez | Clinical Neuropsychologist | 9065 Sw 87th Ave Ste 106, Miami, FL 33176-2314 | 2009-03-10 |
| 1598913832 | Linnette Castillo | Clinical Neuropsychologist | 5901 Sw 74th St Ste 2001, Miami, FL 33143-5165 | 2008-08-28 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.