SUSAN TRAN MD NPI 1760638886

NPI Information

NPI: 1760638886
Provider Name: SUSAN TRAN, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1160 KEPLER DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 288-5500
Get Directions

Susan Tran, MD is a child and adolescent psychiatry psychiatry neurology in Green Bay, WI with 22 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Susan Tran, MD NPI is 1760638886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1160 KEPLER DR
GREEN BAY, WI
ZIP 54311-321
Phone: (920) 288-5500
Fax: (920) 288-5510

The NPI 1760638886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 12/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	ME 92893	FLORIDA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	ME 92893	FLORIDA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	66496-20	WISCONSIN	Yes
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME 92893	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1760638886	MEDICAID	WISCONSIN
2	K400343729	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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