Susan Jeanne Rea, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000080 Issued in NY

Practice address

4285 W Lake Rd
Canandaigua, NY 14424-8353

Phone

(585) 394-0065

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013126689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 W LAKE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248353",
            "telephone_number": "585-394-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 W LAKE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248353",
            "telephone_number": "585-394-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "SUSAN",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bree S Rademacker, D.C.
• Ryan P Rademacker, D.C.
• David Ragonesi, M.D.
• Kristin Marie Ray, PT,DPT,MS,CSCS
• Raymond M. Thomas M.D., P.C.
• Megan Lee Record
• Victoria Record, AGPCNP-BC
• Hannah Redington, OT/L
• Susan Sloniger Reed, OTR
• Gregory Thomas Reeves, LMSW-CLINICAL

• Marriage & Family Therapist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.