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SUSAN FEDER SLOBARD M.D. NPI 1639230303


NPI Information

NPI: 1639230303
Provider Name: SUSAN FEDER SLOBARD, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1021 N MULFORD RD
STE 1
ROCKFORD, IL
ZIP 61107
Phone: (815) 399-9700
Get Directions

Susan Feder Slobard, M.D. is a child and adolescent psychiatry psychiatry neurology in Rockford, IL. 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 Feder Slobard, M.D. NPI is 1639230303. 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:

1021 N MULFORD RD
STE 1
ROCKFORD, IL
ZIP 61107-877
Phone: (815) 399-9700
Fax: (815) 394-1401

The NPI 1639230303 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 12/13/2006 and was last updated on 8/30/2012.


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
12084P0800XPsychiatry & NeurologyPsychiatryME102673FLORIDANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME102673FLORIDANo
32084P0800XPsychiatry & NeurologyPsychiatry1573581NEW YORKNo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry1573581NEW YORKNo
52084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry036068243ILLINOISYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.