Active NPI
Susan Thomas Macdonald, MA
- Marriage & Family Therapist
- Sebastopol, CA
National Provider Identifier
1548423148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52256
- Practice address
- 103 Morris St Ste I
Sebastopol, CA 95472-3863 - Phone
- (415) 419-7298
- NPI assigned
- Jul 3, 2008
- 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 | 52256 | CA | Primary |
Addresses
Primary practice location
103 Morris St Ste I
Sebastopol, CA 95472-3863
Mailing address
793 Robinson Rd
Sebastopol, CA 95472-4113
Phone (415) 419-7298
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52256 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1548423148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 ROBINSON RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724113",
"telephone_number": "415-419-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MORRIS ST STE I",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723863",
"telephone_number": "415-419-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "SUSAN",
"middle_name": "THOMAS",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.