Susannah Elizabeth Guerra, MA COUN. PSYCH.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1215 Obrien Dr
Menlo Park, CA 94025-1412

Phone

(650) 260-3805

NPI assigned

Nov 28, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Open Mind Center for Brain & Behavior

  • Behavior Analyst
  • Menlo Park, CA
  • NPI 1891307948
  NPD

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1659814424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251412",
            "telephone_number": "650-260-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OBRIEN DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251412",
            "telephone_number": "650-260-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Loma Alta Ave",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950306227",
            "country_code": "US",
            "telephone_number": "408-364-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "SUSANNAH",
        "middle_name": "ELIZABETH",
        "credential": "MA COUN. PSYCH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Minds Mental Health Services
• Ivey Ike Grozier III, MA, LAADC, CADC-II,
• Gabriela Maria Gryczynski
• Jay Gu, DDS
• Jeffrey Mark Guardino, MD
• Guide Behavioral Health LLC
• Susan Elaine Guild, LCSW
• Alyse Michele Gulack, AUD
• Marc Joseph Gurwith, M.D.
• Frida Dolores Gutierrez

• Marriage & Family Therapist in Menlo Park, CA
• Providers in Menlo Park, 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 Oct 9, 2020; 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.