Individual provider Active NPI

Suzanne Lenz

  • Psychologist
  • Torrance, CA
National Provider Identifier
1003829128
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25336 Issued in CA
Practice address
24050 Madison St Ste 100H
Torrance, CA 90505-6080
Phone
(310) 534-4030
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC16075 CA
Psychologist 103T00000X PSY25336 CA Primary

Addresses

Primary practice location

24050 Madison St Ste 100H
Torrance, CA 90505-6080

Mailing address

818 Camino Real
101
Redondo Beach, CA 90277-4373
Phone (310) 534-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130725000181 CA Practitioner - Clinical Psychologist 8022259571 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24050 Madison St
Suite 100H
Torrance, CA 90505-6080
Phone (310) 534-4030

818 Camino Real
Suite 101
Redondo Beach, CA 90277-4309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC16075CAMDMarriage & Family Therapist
25336CAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1003829128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CAMINO REAL",
            "address_2": "101",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774373",
            "telephone_number": "310-534-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST STE 100H",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056080",
            "telephone_number": "310-534-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ",
        "first_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC16075",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.