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SUSAN ILENE TAUB PHD NPI 1780660431


NPI Information

NPI: 1780660431
Provider Name: SUSAN ILENE TAUB, PHD
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
1604 E OAKLAND AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-2222
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Susan Ilene Taub, PHD is a psychologist in Johnson City, TN. The provider is 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. Susan Ilene Taub, PHD NPI is 1780660431. 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:

1604 E OAKLAND AVE
JOHNSON CITY, TN
ZIP 37601-151
Phone: (423) 928-2222
Fax: (423) 926-5455

The enumeration date for this NPI number is 12/15/2005 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistP0000001182TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014511OTHERVALUE OPTIONS
23689675MEDICARE ID-TYPE UNSPECIFIED
33689675OTHERCIGNA BH
40005354369OTHERAETNA
53689675MEDICAIDSOUTH DAKOTA
682899OTHERBCBS

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

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