Individual provider Active NPI

Susan Tobin, PH.D.

  • Counseling Psychologist
  • Chico, CA
National Provider Identifier
1093740466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY14006 Issued in CA
Practice address
630 Salem St
Suite 130
Chico, CA 95928-5556
Phone
(530) 898-8446
Fax
(530) 898-8449
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY14006 CA Primary

Addresses

Primary practice location

630 Salem St
Suite 130
Chico, CA 95928-5556

Mailing address

630 Salem St
Suite 130
Chico, CA 95928-5556
Phone (530) 898-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000202 CA Practitioner - Clinical Psychologist 5092791640 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 Hanover Lane
Suite 2
Chico, CA 95973-7224

48 Hanover LN
Suite 2
Chico, CA 95973-7224
Phone (530) 898-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093740466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SALEM ST",
            "address_2": "SUITE 130",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285556",
            "telephone_number": "530-898-8446",
            "fax_number": "530-898-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SALEM ST",
            "address_2": "SUITE 130",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285556",
            "telephone_number": "530-898-8446",
            "fax_number": "530-898-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY14006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.