Individual provider Active NPI

Suely C Johns

  • Behavior Analyst
  • Sierra Madre, CA
National Provider Identifier
1265793038
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
370 W Sierra Madre Blvd Ste B
Sierra Madre, CA 91024-2714
Phone
(626) 355-5160
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Case Manager/Care Coordinator 171M00000X
Specialist 174400000X

Addresses

Primary practice location

370 W Sierra Madre Blvd Ste B
Sierra Madre, CA 91024-2714

Mailing address

11690 Montana Ave Apt 105
Los Angeles, CA 90049-4671
Phone (951) 966-3438

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goiaba Group LLC Behavior Analyst Current Accepting new patients
Compass Center, Inc Behavior Analyst Current Accepting new patients

Locations

671 W Tefft St
Ste 14
Nipomo, CA 93444
Phone (805) 619-7329

3350 Shelby St
Ste 200
Ontario, CA 91764
Phone (818) 208-0164

22800 Lyons Ave
Ste 110
Santa Clarita, CA 91321
Phone (323) 300-4981

Organizations & group practices 2

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1265793038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 MONTANA AVE APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494671",
            "telephone_number": "951-966-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W SIERRA MADRE BLVD STE B",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242714",
            "telephone_number": "626-355-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "SUELY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.