George Kim Sutterfield, PH.D., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC18089 Issued in CA

Practice address

1055 Donahue St
Unit 2
San Diego, CA 92110-1725

Phone

(619) 762-9300

Fax

(619) 272-0132

NPI assigned

Apr 17, 2007

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Marriage and Family Therapist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Pacific Counseling Associates

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1659810273
  NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1538385653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DONAHUE ST",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101725",
            "telephone_number": "619-762-9300",
            "fax_number": "619-272-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DONAHUE ST",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101725",
            "telephone_number": "619-762-9300",
            "fax_number": "619-272-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "GEORGE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PH.D., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC18089",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 18089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Alexandra Sutherland, MD
• Robert Sutherland
• Wanda Sutherland
• Mario Sutka
• Cameron Edward Sutter, D.C.
• Carolyn Cross Suttle, LMFT
• Denise Marie Suttner, M.D.
• Elinor Jane Sutton-Brown, PSY.D.
• Alice Conner Sutton, M.D.
• Aurielle Jenai Sutton

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.