Active NPI
Susan L. Thrasher, PH.D.
- Psychologist
- Covina, CA
National Provider Identifier
1033342407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY#11290
- Practice address
- 500 W Badillo St
Covina, CA 91722-3762 - Phone
- (626) 859-2686
- Fax
- (626) 859-2685
- NPI assigned
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY#11290 | CA | Primary |
Addresses
Primary practice location
500 W Badillo St
Covina, CA 91722-3762
Mailing address
500 W Badillo St
Covina, CA 91722-3762
Phone (626) 859-2686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144304486 | Other | CA | NPI NUMBER FOR CORPORATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY#11290 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1033342407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-859-2686",
"fax_number": "626-859-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-859-2686",
"fax_number": "626-859-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "SUSAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY#11290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER FOR CORPORATION",
"identifier": "1144304486",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.