Active NPI
Susan Bertozzi, MFT
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1144313040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT44735
- Practice address
- 2535 Forest Ave
Suite 150
Chico, CA 95928-7691 - Phone
- (530) 518-7231
- Fax
- (530) 809-2437
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT44735 | CA | Primary |
Addresses
Primary practice location
2535 Forest Ave
Suite 150
Chico, CA 95928-7691
Mailing address
2535 Forest Ave
Suite 150
Chico, CA 95928-7691
Phone (530) 518-7231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 24, 2024 through Jun 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT44735 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536969600000",
"number": "1144313040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 FOREST AVE",
"address_2": "SUITE 150",
"city": "CHICO",
"state": "CA",
"postal_code": "959287691",
"telephone_number": "530-518-7231",
"fax_number": "530-809-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 FOREST AVE",
"address_2": "SUITE 150",
"city": "CHICO",
"state": "CA",
"postal_code": "959287691",
"telephone_number": "530-518-7231",
"fax_number": "530-809-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOZZI",
"first_name": "SUSAN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2018-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT44735",
"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 Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.