IndividualActive
Carolyn Suppa, ED.D.
NPI 1669675302 · Psychologist · Charleston, WV
Carolyn Suppa, ED.D. is a Psychologist provider in Charleston, WV (NPI 1669675302).
Provider details
- NPI number
- 1669675302
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 643 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1108 Swan Rd
Charleston, WV 25314-1426
Phone: (304) 345-3685
Street-level locationGet directions
Mailing address
1108 Swan Rd
Charleston, WV 25314-1426
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Carolyn Suppa's NPI number?
- Carolyn Suppa's National Provider Identifier (NPI) is 1669675302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Suppa's specialty?
- Carolyn Suppa is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Carolyn Suppa located?
- Carolyn Suppa's practice location on file with NPPES is 1108 Swan Rd, Charleston, WV 25314-1426.
- What is Carolyn Suppa's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Suppa is (304) 345-3685.
- Is Carolyn Suppa's NPI active?
- Yes — Carolyn Suppa's NPI (1669675302) 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.