Organization Active NPI

Sue Cirillo PA Inc

  • Marriage & Family Therapist
  • Auburn, CA
National Provider Identifier
1558050641
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SUE CIRILLO PA INC
Practice address
3885 Richardson Dr
Auburn, CA 95602-8424
Phone
(530) 613-1383
Fax
(201) 340-5595
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Ms. Susan E Cirillo, LMFTNPI 1841469186
Title
President
Phone
(530) 613-1383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3885 Richardson Dr
Auburn, CA 95602-8424

Mailing address

11573 Sherwood Way
Auburn, CA 95602-8422
Phone (530) 613-1383

Other names 1

  • ABLE-A Better Life for Everyone Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507002643 CA Part B Supplier - Clinic/Group Practice 2668999293 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, CA

National Provider Directory

National Provider Directory

Locations

3885 Richardson Dr
Auburn, CA 95602
Phone (530) 613-1383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1558050641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11573 SHERWOOD WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028422",
            "telephone_number": "530-613-1383",
            "fax_number": "201-340-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 RICHARDSON DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028424",
            "telephone_number": "530-613-1383",
            "fax_number": "201-340-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE CIRILLO PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-613-1383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABLE-A Better Life for Everyone",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.