DR. SUSAN CHERIE SULT (NPI# 1689737769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689737769 |
| Entity Type | Individual |
| Full Name | DR. SUSAN CHERIE SULT |
| Credential | PH. D. |
| Practice Address |
204 N Park Ave Ste 100 Sanford FL 32771-1293 |
| Mailing Address |
Po Box 2525 Sanford FL 32772-2525 |
| Practice Telephone | 4073300418 |
| Practice Fax Number | 4073210059 |
| Mailing Telephone | 4073300418 |
| Mailing Fax Number | 4073210059 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY 3854 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014309900 | 05 |
| Street Address |
204 N PARK AVE STE 100 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699828137 | Shannon Sweeney | Marriage & Family Therapist | 204 N Park Ave Ste 100, Sanford, FL 32771-1293 | 2007-01-19 |
| 1033272133 | Central Florida Psychological Ser Inc | Psychologist | 204 N Park Ave Ste 100, Sanford, FL 32771-1293 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205129558 | Jennifer L. L. Richards | Psychologist | 131 Charlotte Ave Ste 101b, Sanford, NC 27330-4363 | 2011-05-19 |
| 1902048903 | Kimberly Nelson Kent | Psychologist | 175 River Oaks Cir, Sanford, FL 32771-9321 | 2009-04-06 |
| 1013044429 | Catherine Carney Brodeur | Psychologist | 32 Patriots Ln, Sanford, ME 04073-2552 | 2007-02-27 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1871119784 | Carolina Brain Wellness Center Pllc | Psychologist | 131 Charlotte Ave Ste 101b, Sanford, NC 27330-4363 | 2020-06-17 |
| 1376911917 | Pittsboro Pediatric Psychology and Adhd Clinic | Psychologist | 555 Carthage St, Sanford, NC 27330-4104 | 2015-09-14 |
| 1760807200 | Mindful Paths Psychological Services | Psychologist | 883 Main St, Sanford, ME 04073-3672 | 2014-02-20 |
| 1588717573 | Jerrie A Will | Psychologist | 828 Main St, Sanford, ME 04073-3523 | 2007-01-21 |
| 1033272133 | Central Florida Psychological Ser Inc | Psychologist | 204 N Park Ave Ste 100, Sanford, FL 32771-1293 | 2006-12-19 |
| 1134222755 | Samuel David Aloian Jr. | Psychologist | 111 Dennis Dr, Sanford, NC 27330-6460 | 2006-09-07 |
| Find all providers in SANFORD | ||||
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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.