Susan Joan Lodge, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MVO23094 Issued in CA

Practice address

2221 Liane LN
Santa Ana, CA 92705-3394

Phone

(714) 227-2439

NPI assigned

Aug 12, 2007

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

Other names 1

• Mrs. Susan Joan Neustadt Former name

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": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1376735506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LIANE LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053394",
            "telephone_number": "714-730-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LIANE LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053394",
            "telephone_number": "714-227-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MVO23094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "NEUSTADT",
            "middle_name": "JOAN",
            "prefix": "MRS.",
            "credential": "MFCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edwin Esteban Lobato Castillo
• Michelle Lobato
• Loc Quang DO, DDS Apc
• Alonzo Ellis Lockhart, M.D.
• Makayla Lockhart
• Rodolfo Loera, LCSW
• Vicente Loeza
• Andrea Lofgren
• Jason Paul Logoluso, PT
• Logos Language Santa Ana

• Mental Health Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.