Individual provider Active NPI

Susan Longworth Guzzo, PSY.D.

  • Clinical Neuropsychologist
  • Pleasanton, CA
National Provider Identifier
1669405205
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY20623 Issued in CA
Practice address
7901 Stoneridge Dr Ste 521
Pleasanton, CA 94588-4531
Phone
(510) 282-0680
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY20623 CA Primary
Clinical Psychologist 103TC0700X PSY20623 CA

Addresses

Primary practice location

7901 Stoneridge Dr Ste 521
Pleasanton, CA 94588-4531

Mailing address

7901 Stoneridge Dr Ste 521
Pleasanton, CA 94588-4531
Phone (510) 282-0680

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20623CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Psych Alliance, Inc. Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1669405205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DR STE 521",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884531",
            "telephone_number": "510-282-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 STONERIDGE DR STE 521",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884531",
            "telephone_number": "510-282-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZO",
        "first_name": "SUSAN",
        "middle_name": "LONGWORTH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20623",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.