Individual provider Active NPI

Susannah Bonn, MFT

  • Marriage & Family Therapist
  • Philadelphia, PA
National Provider Identifier
1174229272
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1818 Rittenhouse SQ
Philadelphia, PA 19103-5837
Phone
(215) 839-6685
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1818 Rittenhouse SQ
Philadelphia, PA 19103-5837

Mailing address

1813 Spruce St Apt 3R
Philadelphia, PA 19103-5806

Other names 1

  • Suzy Bonn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 22, 2025 through Oct 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1174229272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SPRUCE ST APT 3R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 RITTENHOUSE SQ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035837",
            "telephone_number": "215-839-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONN",
        "first_name": "SUSANNAH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZY",
            "last_name": "BONN",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.