Susan Margaret Embree-Davis, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

36729 Issued in CA

Practice address

631 Tennessee St
Vallejo, CA 94590-4432

Phone

(707) 704-1455

Fax

(707) 643-0115

NPI assigned

Nov 26, 2008

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

Other names 1

• Sue Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1053566471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 STINSON ST APT 4",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916416",
            "telephone_number": "707-704-1455",
            "fax_number": "707-643-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904432",
            "telephone_number": "707-704-1455",
            "fax_number": "707-643-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREE-DAVIS",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "DAVIS",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Marriage & Family Therapist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.