DR. SUSAN K YODER (PHD) – Psychologist, NPI 1104844190

DR. SUSAN K YODER (PHD) is a healthcare provider. based in Boardman, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4568 (OH). The NPI Number for DR. SUSAN K YODER (PHD) is 1104844190

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN K YODER (PHD)
NPI
1104844190
Phone
(330) 726-2965
Address
8170 SOUTH AVE
Enumeration Date
17 July 2006
Last Update Date
27 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307262965
Graduation Year
1990 (36 years ago)
PAC ID
4183681661
Group Practice PAC ID
6305992389
Professional Enrollment ID
I20060816000463
Address ID
OH445143694YO831XXRUNX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,144 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. SUSAN K YODER (PHD)

  • South Avenue, Boardman, Mahoning County, Ohio, 44514, United States

    SUITE 1

    BOARDMAN, OH 445126434

    Phone: (330) 726-2965

    Fax: (330) 726-0449

    Mailing address matches the actual address.

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: 2006-08-16

PECOS data refreshed: 2026-06-15

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
I20060816000463IClinical PsychologistOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour8512$0
View full utilization report →

Insurance plans in this area (ZIP 44512)

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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: 6305992389View full group profile
NameSpecialtyState
-OH
Clinical PsychologistOH

Reviews

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Frequently asked questions

How do payers reference DR. SUSAN K YODER (PHD)?
For DR. SUSAN K YODER (PHD), use NPI 1104844190 as the unique 10-digit identifier.
Would DR. SUSAN K YODER (PHD) appear as active to a payer?
You can treat DR. SUSAN K YODER (PHD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SUSAN K YODER (PHD)?
DR. SUSAN K YODER (PHD)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Where in Ohio is DR. SUSAN K YODER (PHD) registered?
Use Boardman, Ohio as the headline location for DR. SUSAN K YODER (PHD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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