Sue E. Shrader,MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC30118 Issued in CA

Legal business name

SUE E. SHRADER,MFT

Practice address

4445 Eastgate Mall
San Diego, CA 92121-1979

Phone

(858) 337-5291

Fax

(619) 269-5091

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Sue E Hanes, MARRIAGE FAMILY THER

Title

Sue E. Shrader, MFT

Phone

(858) 337-5291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1205082831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-337-5291",
            "fax_number": "619-269-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-337-5291",
            "fax_number": "619-269-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE E. SHRADER,MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SUE E. SHRADER, MFT",
        "authorized_official_telephone_number": "858-337-5291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MARRIAGE FAMILY THER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Sudduth, MHS, PA-C
• David J Suder, O.D.
• Sudhir Malik, a Professional Medical Corporation
• Justine Renae Sudlow
• Jason Sudo, PHARMD
• David Sue
• Susan E Sue, P.T
• Ryan T Suemoto
• Jill Suess, L.AC.
• Edil Ahmed Sufi

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.