Suyeu Kuo, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33714 Issued in CA

Practice address

7817 Herschel Ave # 101-102
La Jolla, CA 92037-4454

Phone

(925) 269-7451

NPI assigned

Sep 6, 2017

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Protected Roots Integrative

  • Clinical Child & Adolescent Psychologist
  • La Jolla, CA
  • NPI 1083318448
  NPD Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1518485937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12589",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 HERSCHEL AVE # 101-102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374454",
            "telephone_number": "925-269-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "SUYEU",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33714",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Rajapuram Kumar, M.D.
• Monika Kumaraswamy, M.D.
• Samuel Kung, MD
• Grace M Kuo, PHARMD, MPH, PHD
• Selena Zhao Kuo
• Arwa Kurabi
• Tracy R Kuranaka, MD
• Mel M. Kurtulus, M.D.
• Christanne Kurtz, NP
• Lisa Joy Kutner, M.D.

• Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.