Susanna Gilbert, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

95852 Issued in CA

Practice address

2127 Ashby Ave
Berkeley, CA 94705-1884

Phone

(510) 646-0396

Fax

(510) 528-9186

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 2017By the provider in NPPES

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1407397623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051884",
            "telephone_number": "510-646-0396",
            "fax_number": "510-528-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051884",
            "telephone_number": "510-646-0396",
            "fax_number": "510-528-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SUSANNA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petros Giannikopoulos, M.D.
• Hilary Gibson, M.S., BCBA
• Nina Gibson
• Justine Stern Gilbane, LMFT #100404
• Katherine Cleveland Gilbert, M.D.
• Melville Marius Gilcrest
• Gwendolyn Gill, N.P.
• Cheri Gillies, RN
• Malachi Gillihan, MA
• John Gilman, MD

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.