MS. MELISSA SUSAC (NPI# 1720527971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720527971 |
Entity Type | Individual |
Full Name | MS. MELISSA SUSAC |
Credential | MFT |
Practice Address |
1540 Schrader Blvd Garden Suite 12 Hollywood CA 90028 |
Mailing Address |
2214 Canyon Dr Los Angeles CA 90068-2402 |
Practice Telephone | 8588764774 |
Mailing Telephone | 8588764774 |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 96855 | CA | Behavioral Health & Social Service Providers |
Street Address |
1540 SCHRADER BLVD GARDEN SUITE 12 |
City | HOLLYWOOD |
State | CA |
Zip Code | 90028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
1538412838 | Lizette Davillier | Social Worker | 1427 N. La Brea Ave., Los Angeles, CA 90028 | 2012-10-24 |
Find all providers in zip 90028 |
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 |
---|---|---|---|---|
1881208304 | Zuwania Lynette Smith | Marriage & Family Therapist | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 |
1508489188 | Jessica Popham | Marriage & Family Therapist | 1437 Dewey St, Hollywood, FL 33020-6136 | 2020-05-18 |
1760910541 | Angela Dipasquale | Marriage & Family Therapist | 450 N Park Road, Hollywood, FL 33021 | 2017-05-24 |
1851827018 | Arlett Theresa Bagalue-tracey | Marriage & Family Therapist | 450 North Park Road Ste. 600, Hollywood, FL 33021 | 2017-05-10 |
1801334719 | Sara Smith | Marriage & Family Therapist | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 |
1326356486 | Cecile Marie Dumornay | Marriage & Family Therapist | 6509 Flagler St, Hollywood, FL 33023-2127 | 2010-09-22 |
1265753917 | Nancy Yvonne Paris | Marriage & Family Therapist | 3133 N. 34th Street, Hollywood, FL 33021 | 2010-06-17 |
1043443963 | Rosie Goni | Marriage & Family Therapist | 3473 Emerald Oaks Dr, Hollywood, FL 33021-8444 | 2009-08-26 |
1538322268 | Jason Wasser | Marriage & Family Therapist | 1930 Harrison St, Suite 205, Hollywood, FL 33020-7824 | 2008-07-02 |
1992911085 | Karen H Shatz | Marriage & Family Therapist | 441 S Surf Rd, Hollywood, FL 33019-2014 | 2007-05-15 |
Find all providers in HOLLYWOOD |
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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.