DR. SUSAN ELIZABETH BROGAN (PSY.D.) – Clinical Psychologist, NPI 1346499795

DR. SUSAN ELIZABETH BROGAN (PSY.D.) is a healthcare provider. based in Deltona, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY10657 (FL). The NPI Number for DR. SUSAN ELIZABETH BROGAN (PSY.D.) is 1346499795

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN ELIZABETH BROGAN (PSY.D.)
NPI
1346499795
Phone
Not provided
Address
1657 GOLD OAKS RD
Enumeration Date
10 September 2008
Last Update Date
8 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538515433
Graduation Year
2001 (25 years ago)
PAC ID
2567512981
Group Practice PAC ID
7719032226
Professional Enrollment ID
I20220418000535
Address ID
WA983351633GI2909XNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. SUSAN ELIZABETH BROGAN (PSY.D.)

  • 1657, Gold Oaks Road, Deltona, Volusia County, Florida, 32725, United States

    DELTONA, FL 327254314

    Phone:

    Type: Mailing

  • South Crown Way, Wellington, Palm Beach County, Florida, 33414-9372, United States

    WELLINGTON, FL 334148718

    Phone: (561) 790-1191

    Type: Location

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: 2022-04-18

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
I20220418000535IClinical PsychologistWATBD

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 32725)

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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: 7719032226View full group profile
NameSpecialtyState
Clinical PsychologistWA
Clinical PsychologistWA
Clinical PsychologistWA
Clinical PsychologistHI
-WA
Mental Health CounselorWA
Clinical PsychologistWA
-AZ
-WA
Clinical PsychologistWA

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Frequently asked questions

What number should I use to identify DR. SUSAN ELIZABETH BROGAN (PSY.D.) for billing?
Administrative and clinical systems typically use NPI 1346499795 for DR. SUSAN ELIZABETH BROGAN (PSY.D.).
Quick check: is DR. SUSAN ELIZABETH BROGAN (PSY.D.) active?
Public NPPES data shows DR. SUSAN ELIZABETH BROGAN (PSY.D.) with an active NPI status right now.
What services align with DR. SUSAN ELIZABETH BROGAN (PSY.D.)'s listing?
DR. SUSAN ELIZABETH BROGAN (PSY.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SUSAN ELIZABETH BROGAN (PSY.D.)?
The directory associates DR. SUSAN ELIZABETH BROGAN (PSY.D.) with Deltona, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. SUSAN ELIZABETH BROGAN (PSY.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.