Active NPI
Susan Kathleen Medlin
- Case Manager/Care Coordinator
- Martinez, CA
National Provider Identifier
1205050564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1340 Arnold Dr.,
Suite 200 Contra Costa Mental Health Administration
Martinez, CA 94553 - Phone
- (925) 957-5104
- Fax
- (925) 957-5156
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1340 Arnold Dr.,
Suite 200 Contra Costa Mental Health Administration
Martinez, CA 94553
Mailing address
1340 Arnold Dr.,
Suite 200 Contra Costa Mental Health Adminstration
Martinez, CA 94553
Phone (925) 957-5104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1205050564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 ARNOLD DR.,",
"address_2": "SUITE 200 CONTRA COSTA MENTAL HEALTH ADMINSTRATION",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-957-5104",
"fax_number": "925-957-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 ARNOLD DR.,",
"address_2": "SUITE 200 CONTRA COSTA MENTAL HEALTH ADMINISTRATION",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-957-5104",
"fax_number": "925-957-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "SUSAN",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.