Susan L Dubin-McNeil, EDD
Individual provider Active NPI Psychologist · PT Reyes, CA
NPI 1083779599 · NPPES record last updated Apr 6, 2011
Key facts
- NPI
- 1083779599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY12018 (CA)
- Practice address
- 100 6TH St PT Reyes
PT Reyes, CA 94956 - Phone
- (415) 663-8231
- Fax
- (415) 473-3828
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12018 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12018 | CA | Yes |
Addresses
Primary practice location
100 6TH St PT Reyes
PT Reyes, CA 94956
Mailing address
PO Box 331
West Marin Health and Human Services
Point Reyes Station, CA 94956-0331
Phone (415) 663-8231
Other names
- Dr. Susan L Dubin-McNeil
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.