Susan Charlotte Fette, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

39653 Issued in CA

Practice address

3554 Round Barn Blvd
Suite 100
Santa Rosa, CA 95403-0929

Phone

(707) 571-3713

NPI assigned

May 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzy Giordano Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• TLC Child and Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Sebastopol, CA
  • NPI 1639226814
  NPD Authorized official
• TLC Child & Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Sebastopol, CA
  • NPI 1073131942
  NPD

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1639516198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4783 TARTON DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057950",
            "telephone_number": "707-484-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 ROUND BARN BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030929",
            "telephone_number": "707-571-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTE",
        "first_name": "SUSAN",
        "middle_name": "CHARLOTTE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZY",
            "last_name": "GIORDANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reed C Ferrick, D.M.D.
• Amanda Ferroggiaro
• Maria Ferrol
• Carolyn Fershtman, PHD
• Charlotte Anne Fess, LMFT
• Bobby Gene Field, MD
• David Ronald Field, N.D., L.AC.
• Eugene G Field, D.D.S
• Lesley M Field, PA-C
• Sarah Field, M.A. OTR/L

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 May 23, 2013; 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.