Active NPI
Susan Carol Goodell, MFT
- Marriage & Family Therapist
- Del Mar, CA
National Provider Identifier
1447304928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 20533
- Practice address
- 2140 Via Mar Valle
Del Mar, CA 92014-3627 - Phone
- (619) 997-5333
- Fax
- (619) 222-0788
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 20533 | CA | Primary |
Addresses
Primary practice location
2140 Via Mar Valle
Del Mar, CA 92014-3627
Mailing address
PO Box 2328
Del Mar, CA 92014-1628
Phone (619) 997-5333
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 20533 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447304928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2328",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141628",
"telephone_number": "619-997-5333",
"fax_number": "619-222-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 VIA MAR VALLE",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143627",
"telephone_number": "619-997-5333",
"fax_number": "619-222-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "SUSAN",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 20533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.