Individual provider Active NPI

Susan V Swartz, LMFT

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1265550362
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30882 Issued in CA
Practice address
750 B St Ste 2870
San Diego, CA 92101-8132
Phone
(619) 722-0014
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30882 CA Primary
Marriage & Family Therapist 106H00000X 42894 CA

Addresses

Primary practice location

750 B St Ste 2870
San Diego, CA 92101-8132

Mailing address

5385 Clairemont Mesa Blvd Apt 17
San Diego, CA 92117-2263
Phone (858) 900-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42894CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Psychology Services PC CurrentSince Oct 8, 2023 Accepting new patients
Children'S Institute Inc. Past Accepting new patients
Children'S Institute, Inc. Past Accepting new patients

Locations

750 B St
Ste 2870
San Diego, CA 92101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1265550362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 CLAIREMONT MESA BLVD APT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172263",
            "telephone_number": "858-900-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 B ST STE 2870",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018132",
            "telephone_number": "619-722-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "SUSAN",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30882",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.