Susan P Nielsen

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2605 Issued in CA

Practice address

3970 La Colina Rd
Santa Barbara, CA 93110-1563

Phone

(805) 896-6318

NPI assigned

May 11, 2021

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

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1376127761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 LA COLINA RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 LA COLINA RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101563",
            "telephone_number": "805-896-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101526",
            "country_code": "US",
            "telephone_number": "805-896-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SUSAN",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Nicol, DDS
• Amanda Nicolato, MPT
• Marisa Nicoletti
• Kristina Louise Nielsen, PT
• Ronald Nielsen
• Kaitlyn J Nielson, MD
• Madison Estelle Niessen
• Gabriela Williamson Nighan
• Marjorie Wasem Nilson, FNP
• Nina N. Madavi, D.D.S., Professional Dental Corp.

• School Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.