Individual provider Active NPI

Susanne Haas-Clark, M.S.

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1609937952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC38332 Issued in CA
Practice address
7350 El Camino Real
Ste. 104
Atascadero, CA 93422-4655
Phone
(805) 462-1800
Fax
(805) 462-1800
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

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 MFC38332 CA Primary

Addresses

Primary practice location

7350 El Camino Real
Ste. 104
Atascadero, CA 93422-4655

Mailing address

7350 El Camino Real
Ste. 104
Atascadero, CA 93422-4655
Phone (805) 462-1800

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 Science

State licenses

LicenseStateTypeSpecialty
MFC38332CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609937952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 EL CAMINO REAL",
            "address_2": "STE. 104",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224655",
            "telephone_number": "805-462-1800",
            "fax_number": "805-462-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 EL CAMINO REAL",
            "address_2": "STE. 104",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224655",
            "telephone_number": "805-462-1800",
            "fax_number": "805-462-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS-CLARK",
        "first_name": "SUSANNE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.