Individual provider Active NPI

Susan Futterman, LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1639596489
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101007 Issued in CA
Practice address
3120 Telegraph Ave Ste 11
Berkeley, CA 94705-1965
Phone
(415) 515-6253
NPI assigned
Mar 18, 2014
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 101007 CA Primary

Addresses

Primary practice location

3120 Telegraph Ave Ste 11
Berkeley, CA 94705-1965

Mailing address

509 Seacliff PL
Richmond, CA 94801-4132
Phone (415) 515-6253

Other practice location 1

509 Seacliff Pl
Point Richmond, CA 94801-4132
Phone (415) 515-6253

Other names 1

  • Ms. Susan. Futterman Professional name

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

State licenses

LicenseStateTypeSpecialty
101007CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639596489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SEACLIFF PL",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948014132",
            "telephone_number": "415-515-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TELEGRAPH AVE STE 11",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051965",
            "telephone_number": "415-515-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Seacliff Pl",
            "address_purpose": "LOCATION",
            "city": "Point Richmond",
            "state": "CA",
            "postal_code": "948014132",
            "country_code": "US",
            "telephone_number": "415-515-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUTTERMAN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN.",
            "last_name": "FUTTERMAN",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.