Susan Lindblade, LMFT, AT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103921 Issued in CA

Practice address

1000 Fremont Ave Ste 200
Los Altos, CA 94024-6055

Phone

(415) 302-6424

NPI assigned

Mar 30, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1669000212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 JOLLY CT",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246845",
            "telephone_number": "415-302-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 200",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246055",
            "telephone_number": "415-302-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLADE",
        "first_name": "SUSAN",
        "credential": "LMFT, AT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan@susanlindblade.com",
            "affiliation": "N",
            "address_1": "1000 Fremont Ave Ste 200",
            "city": "Los Altos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940246055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Liew, PA-C, MSPAS
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• Hae Jin Lim, CNP
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• Yui Kuo Lin, R.PH
• Carola Anne Lipset, LCSW
• Caiqin Liu, L.AC
• Hong Liu, L. AC.,
• Qianwen Liu
• Sasha Liu

• Marriage & Family Therapist in Los Altos, CA
• Providers in Los Altos, 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 Mar 30, 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.