Susan F O'Brien, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19321 Issued in CA

Practice address

2830 I St Ste 203
Sacramento, CA 95816-4311

Phone

(961) 799-5736

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan F Ko Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1063688240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MARKHAM WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958183139",
            "telephone_number": "916-799-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 I ST STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164311",
            "telephone_number": "961-799-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUSAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KO",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "PH D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kevin Kenji O'Brien
• Madeleine O'Brien
• Michael O'Brien, DDS
• Pamela O'Brien
• Steven S O'Brien, MA
• Therese L O'Brien, D.D.S.
• Rebecca O'Callaghan, M.S., OTR/L, SWC
• Vanessa O'Conneli
• Amber O'Connell
• Meghan Noelle O'Connell

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.