Individual provider Active NPI

Susanne Jacqueline Schmidt-Bracy, MFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1407052541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
33361 Issued in CA
Practice address
23775 Via de Gema Linda
Murrieta, CA 92562-2060
Phone
(951) 698-0670
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 33361 CA Primary

Addresses

Primary practice location

23775 Via de Gema Linda
Murrieta, CA 92562-2060

Mailing address

23775 Via de Gema Linda
Murrieta, CA 92562-2060
Phone (951) 698-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303001009 CA Practitioner - Marriage and Family Therapist 8628599081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 26, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 26, 2024 Accepting new patients

Locations

2055 Kellogg Ave
Corona, CA 92879
Phone (951) 248-4000

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407052541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23775 VIA DE GEMA LINDA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622060",
            "telephone_number": "951-698-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23775 VIA DE GEMA LINDA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622060",
            "telephone_number": "951-698-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT-BRACY",
        "first_name": "SUSANNE",
        "middle_name": "JACQUELINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.