Susan Keens, PHD; MFT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 14158 Issued in CA

Practice address

5152 Jessen Dr
La Canada, CA 91011-1329

Phone

(818) 929-5246

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alf Management Group Inc

  • Assisted Living Facility
  • Glendale, CA
  • NPI 1124571526
  NPD (past)
• Darrell Broaddus Psychological Services PC

  • Clinical Psychologist
  • Orangevale, CA
  • NPI 1215339650
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1184095366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 JESSEN DR",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111329",
            "telephone_number": "818-929-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 JESSEN DR",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111329",
            "telephone_number": "818-929-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENS",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD; MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 14029",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 14158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silva Karaguzian
• Jordan Wilson Kassel, LMFT
• Karolina Agatha Kasubowski, MA, BCBA
• Laura Kauffman, MS, RDN
• Katsumi Karl Kawakami, D.D.S.
• Kenneth C Ho DDS Inc.
• Eliza Keshishyan, MS
• Heidi Khalil, LCSW
• Talha Khawar, M.D.
• Kathleen Kilaghbian, PT

• Clinical Psychologist in La Canada, CA
• Providers in La Canada, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.