DR. SUSAN WYNN HORTON (NPI# 1619094570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619094570 |
| Entity Type | Individual |
| Full Name | DR. SUSAN WYNN HORTON |
| Credential | PHD |
| Practice Address |
237 Ne Chkalov Dr Suite 110 Vancouver WA 98684-5054 |
| Practice Telephone | 3609210745 |
| Practice Fax Number | 3602609777 |
| Mailing Telephone | 3609210745 |
| Mailing Fax Number | 3602609777 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2013-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY1226 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0274 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BLUECROSS BLUESHI | 005384000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674771 | Susan Michele Horton | Student in an Organized Health Care Education/Training Program | 2802 Shadowdale Dr, Houston, TX 77043-1715 | 2020-03-18 |
| 1861797441 | Susan P. Horton | Social Worker | 260 Washington St., Duxbury, MA 02332 | 2011-01-13 |
| 1972088722 | Susan Horton | Speech-Language Pathologist | 22 Bramhall St, Portland, ME 04102-3175 | 2018-09-27 |
| 1326522897 | Susan Denise Horton | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-09-20 |
| 1740541317 | Susan R Horton | Nurse Practitioner | 60 High St, Lewiston, ME 04240-7616 | 2012-05-31 |
| 1437436557 | Susan Horton II | Pharmacist | 3381 Poplar Ave, Memphis, TN 38111-4601 | 2011-11-03 |
| 1922201474 | Susan Malishan Horton | Nurse Practitioner | 1255 W Washington St, Monticello, FL 32344-1128 | 2007-06-11 |
| 1235269614 | Susan Horton | Pharmacist | 2809 100th St, Urbandale, IA 50322-3860 | 2007-03-06 |
| Street Address |
237 NE CHKALOV DR SUITE 110 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750798 | Tom M Dooley | Psychologist | 237 Ne Chkalov Dr, Ste 123, Vancouver, WA 98684 | 2006-05-23 |
| 1306128640 | Yelena Lyashchina | Massage Therapist | 237 Ne Chkalov Dr, 120, Vancouver, WA 98684-5054 | 2011-09-13 |
| 1285868000 | Moser Services, Inc. | Home Health | 237 Ne Chkalov Dr, Vancouver, WA 98684-5054 | 2009-05-07 |
| 1104964725 | William U Weiss | Psychologist | 237 Ne Chkalov Dr, 118, Vancouver, WA 98684-5054 | 2007-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| 1790217578 | Allison Rose Chambers-dixson | Psychologist | 750 Officers Row, Vancouver, WA 98661-3845 | 2017-03-30 |
| 1225408941 | Peter Weiss | Psychologist | 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 | 2015-10-07 |
| 1912281254 | Linda Lee | Psychologist | 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 | 2011-10-05 |
| 1215241781 | Chrystal Joy Agnor | Psychologist | 10708 Ne 90th Ct, Vancouver, WA 98662-1455 | 2010-07-27 |
| 1093040743 | Gregory Allen May | Psychologist | 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 | 2009-10-14 |
| 1780826289 | Kelly Ross Fielding | Psychologist | 201 E 19th St, Vancouver, WA 98663-3301 | 2009-03-30 |
| 1174764732 | Cecilia M Dominguez | Psychologist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 | 2009-03-11 |
| 1265684765 | Gary Seeman | Psychologist | 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 | 2008-10-15 |
| Find all providers in VANCOUVER | ||||
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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.