Susan Shively, M.D.
NPI 1912119843ActiveIndividual· Psychoanalyst· Philadelphia, PA
Psychoanalyst (M.D.) in Philadelphia, Pennsylvania, licensed in PA, with an NPI issued in May 2007. Part D covered 23 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1912119843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 4, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychoanalyst Primary | 102L00000X | MD019586E | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 46 30-day fills |
|---|---|
| Total drug cost | $634.13 |
| Generic share | 96% of claims |
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