Suraya Susana Keating, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43996 Issued in CA

Practice address

1924 4TH St
2ND Floor
San Rafael, CA 94901-2697

Phone

(510) 841-0888

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1659707677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FORREST AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301805",
            "telephone_number": "510-841-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 4TH ST",
            "address_2": "2ND FLOOR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012697",
            "telephone_number": "510-841-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "SURAYA",
        "middle_name": "SUSANA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimball Charles Kaufman, DDS
• Jatindur Kaur, RN
• Sarah Kay
• Terry Martin Keady
• Dominique Keane-Cawrse
• Alyssa Keeney-Roe, PT, MS
• Kimberlie Keller, DO
• Robert W. Keller
• Valerie Irene Keller, MFTI
• Christopher Lyle Ivan Kellogg, MA

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, 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 Sep 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.