Individual provider Active NPI

Susan Jo Anne Ritter-Splain, MFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1457424202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC7878 Issued in CA
Practice address
740 Front St
Suite 360
Santa Cruz, CA 95060-4535
Phone
(831) 336-5437
Fax
(831) 336-5437
NPI assigned
Nov 16, 2006
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 MFC7878 CA Primary

Addresses

Primary practice location

740 Front St
Suite 360
Santa Cruz, CA 95060-4535

Mailing address

180 Jacobson LN
Ben Lomond, CA 95005-9208
Phone (831) 336-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC7878CAMDMarriage & Family Therapist
7878CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457424202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JACOBSON LN",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059208",
            "telephone_number": "831-336-5437",
            "fax_number": "831-336-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST",
            "address_2": "SUITE 360",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604535",
            "telephone_number": "831-336-5437",
            "fax_number": "831-336-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER-SPLAIN",
        "first_name": "SUSAN",
        "middle_name": "JO ANNE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC7878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.