IndividualActive
Susanna Lack, PSY.D.
NPI 1255311718 · Clinical Psychologist · Media, PA
Susanna Lack, PSY.D. is a Clinical Psychologist provider in Media, PA (NPI 1255311718).
Provider details
- NPI number
- 1255311718
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS008960 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 N Monroe St
2nd Floor
Media, PA 19063-3019
Phone: (610) 891-9923
Street-level locationGet directions
Mailing address
207 Engle Dr
Wallingford, PA 19086-6322
Registry dates
- Enumerated
- 2006-01-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susanna Lack's NPI number?
- Susanna Lack's National Provider Identifier (NPI) is 1255311718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susanna Lack's specialty?
- Susanna Lack is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Susanna Lack located?
- Susanna Lack's practice location on file with NPPES is 211 N Monroe St, Media, PA 19063-3019.
- What is Susanna Lack's phone number?
- The practice phone number listed in the NPPES registry for Susanna Lack is (610) 891-9923.
- Is Susanna Lack's NPI active?
- Yes — Susanna Lack's NPI (1255311718) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.