Active NPI
Suely C Johns
- Behavior Analyst
- Sierra Madre, CA
National Provider Identifier
1265793038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.