Healthcare Provider Details

I. General information

NPI: 1609086453
Provider Name (Legal Business Name): JAMES LOUIS SUIT PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17821 SANDCASTLE CT
OLNEY MD
20832-2841
US

IV. Provider business mailing address

17821 SANDCASTLE CT
OLNEY MD
20832-2841
US

V. Phone/Fax

Practice location:
  • Phone: 301-774-5345
  • Fax: 301-774-5345
Mailing address:
  • Phone: 301-774-5345
  • Fax: 301-774-5345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2019
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2019
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2019
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number2019
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number2019
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: