Individual provider Active NPI

Susan Reeder Graf-Cote, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1386839686
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 36680 Issued in CA
Practice address
591 Camino de la Reina
Suite 918
San Diego, CA 92108-3102
Phone
(858) 414-0411
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 36680 CA Primary

Addresses

Primary practice location

591 Camino de la Reina
Suite 918
San Diego, CA 92108-3102

Mailing address

3694 Old Cobble Rd
San Diego, CA 92111-4048
Phone (858) 414-0411

Other identifiers 1

IdentifierTypeStateIssuer
MFC 36680OtherCABBS

Other names 1

  • Ms. Susan Reeder Graf Former name

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

State licenses

LicenseStateTypeSpecialty
MFC 36680CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1386839686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 OLD COBBLE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114048",
            "telephone_number": "858-414-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA",
            "address_2": "SUITE 918",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083102",
            "telephone_number": "858-414-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF-COTE",
        "first_name": "SUSAN",
        "middle_name": "REEDER",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 36680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "MFC 36680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GRAF",
            "middle_name": "REEDER",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.