Susie P Vanbuskirk, BA, BS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT82019 Issued in CA

Practice address

15942 Foothill Blvd
San Leandro, CA 94578-2102

Phone

(510) 317-1444

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts, Bachelor of Science

State licenses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1265503478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 CROW LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233316",
            "telephone_number": "510-541-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15942 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782102",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUSKIRK",
        "first_name": "SUSIE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "BA, BS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT82019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skylar Vanauken
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• Bernadette Patricia Vandeusen, MSN, APRN, FNP-C
• Laurine Kinza Vanlerberg, PMHNP, FNP
• Emily Anne Varela
• Viviana Faith Varela, NA

• Marriage & Family Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.