Suzie Fledderjohn, CADCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12210713 Issued in CA

Practice address

504 W Vista Way
Vista, CA 92083-5704

Phone

(760) 940-1836

NPI assigned

Feb 20, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Systems, Inc.

  dba North County Center for Change

  • Community/Behavioral Health Agency
  • Vista, CA
  • NPI 1821126897
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1225453731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 LILAC KNOLLS RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825050",
            "telephone_number": "760-749-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835704",
            "telephone_number": "760-940-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEDDERJOHN",
        "first_name": "SUZIE",
        "credential": "CADCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12210713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstsight Vision Services, Inc.
• Firstsight Vision Services, Inc.
• Steven Fish, MD
• Jim Michael Fisher, D.M.D.
• Angela Kathryn Fix Ortiz, D.C.
• Kathleen Melocoton Flores-Dahms, M.D.
• Cindy Flores
• Lupe D Flores, R.N., PHN
• Martha Patricia Flores
• Sarah Floyd

• Addiction (Substance Use Disorder) Counselor in Vista, CA
• Providers in Vista, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.