DR. SUSAN JOANNA IRELAND (PH.D.) – Clinical Neuropsychologist, NPI 1154547164

DR. SUSAN JOANNA IRELAND (PH.D.) is a healthcare provider. based in Miami, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY5603 (FL). The NPI Number for DR. SUSAN JOANNA IRELAND (PH.D.) is 1154547164

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN JOANNA IRELAND (PH.D.)
NPI
1154547164
Phone
(305) 585-1267
Address
1611 NW 12TH AVE
Enumeration Date
18 April 2007
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055851111
Graduation Year
1995 (31 years ago)
PAC ID
0345371811
Group Practice PAC ID
0244380434
Professional Enrollment ID
I20100628000072
Address ID
FL331361005MI1611XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. SUSAN JOANNA IRELAND (PH.D.)

  • 1611 NW 12TH AVE

    REHABILITATION HOSPITAL CENTER

    MIAMI, FL 331361005

    Phone: (305) 585-1267

    Fax: (305) 355-4715

    Type: Location

  • 430 NE 52ND ST

    MIAMI, FL 331373031

    Phone: (305) 546-7674

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100628000072IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244380434View full group profile
NameSpecialtyState
E N D O C R I N O L O G YPA
Nurse PractitionerFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Internal MedicineFL
Nurse PractitionerFL
P S Y C H I A T R YFL
General SurgeryFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to DR. SUSAN JOANNA IRELAND (PH.D.)?
The federal identifier for DR. SUSAN JOANNA IRELAND (PH.D.) is NPI 1154547164.
Is DR. SUSAN JOANNA IRELAND (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SUSAN JOANNA IRELAND (PH.D.) treat or focus on?
Patients typically see DR. SUSAN JOANNA IRELAND (PH.D.) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. SUSAN JOANNA IRELAND (PH.D.)?
We surface Miami, Florida for DR. SUSAN JOANNA IRELAND (PH.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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