Active NPI
Susan Tobin, PH.D.
- Counseling Psychologist
- Chico, CA
National Provider Identifier
1093740466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY14006
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.