Individual Healthcare Provider
Susan Klostermann, PHD
Provider's NPPES record last updated: September 9, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104279405
- Primary Specialty
- Psychologist — Clinical Child & Adolescent
- Practice Location
- Wilmington, Delaware
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:41 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Clinical Child & Adolescent
Behavioral Health & Social Service Providers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Taxonomy code 103TC2200X
Provider-Reported License Information
- Psychologist (Illinois)
- 071010340
Practice Locations
Practice Location
1600 Rockland Rd
Wilmington, Delaware 19803-3627
Phone: (302) 651-6212
Additional Practice Location
855 E Golf Rd Ste 2139
Arlington Heights, Illinois 60005-5225
Phone: (847) 357-9158
Record Information
- Enumeration Date
- July 21, 2016
- Provider's NPPES Record Last Updated
- September 9, 2020
- Certification Date
- September 9, 2020
- NPISignal NPPES Dataset
- August 2026
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