MS. SUSAN ELIZABETH HANABURGH (NPI# 1083931836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083931836 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELIZABETH HANABURGH |
| Credential | MFT INTERN BBS 58008 |
| Practice Address |
39899 Balentine Drive #212 Family Service of The Tri-cities Newark CA 94560 |
| Mailing Address |
39899 Balentine Drive Family Service of The Tri-cities Newark CA 94560 |
| Practice Telephone | 5104915780 |
| Mailing Telephone | 5104915780 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 58008 | CA | Behavioral Health & Social Service Providers |
| Street Address |
39899 BALENTINE DRIVE #212 FAMILY SERVICE OF THE TRI-CITIES |
| City | NEWARK |
| State | CA |
| Zip Code | 94560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| 1295939239 | Jamil Rigor Mangondato | Dentist | 35201 Newark Blvd, Ste E, Newark, CA 94560 | 2007-06-13 |
| Find all providers in zip 94560 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904304 | Kira Rye Hayes | Marriage & Family Therapist | 58 S 2nd St, Newark, OH 43055-5432 | 2018-12-31 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1275089799 | Maureen Davey | Marriage & Family Therapist | 120 Wilkerdean Dr E, Newark, DE 19711-3790 | 2016-08-26 |
| 1407236235 | Jay R Griffith | Marriage & Family Therapist | 200 S Williams St, Newark, OH 43055-3929 | 2015-06-07 |
| 1033320130 | Robyn Lynn Mowery | Marriage & Family Therapist | 4745 Ogletown Stanton Rd Ste 237, Newark, DE 19713-2074 | 2007-05-24 |
| 1609933290 | Evelyn Schmechtig Cochran | Marriage & Family Therapist | 39899 Balentine Dr Ste 310, Newark, CA 94560-5362 | 2007-01-02 |
| 1104451657 | Nicole Nefosky | Marriage & Family Therapist | 300 Biddle Ave Ste 207, Newark, DE 19702-3972 | 2020-03-05 |
| 1659918696 | Anneka R Dockery | Marriage & Family Therapist | 910 S Chapel St, Newark, DE 19713-3467 | 2019-12-10 |
| 1124585526 | Belinda Karen Porter | Marriage & Family Therapist | 314 E Main St Ste 402, Newark, DE 19711-7182 | 2019-02-22 |
| 1083126221 | Kevana M Nixon | Marriage & Family Therapist | 261 Chapman Rd, Newark, DE 19702-5423 | 2017-10-27 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.