Susan Denise Duenke, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15555 Issued in CA

Practice address

366 Main St
PO Box 895
Murphys, CA 95247-9625

Phone

(209) 743-5001

NPI assigned

Jan 16, 2007

Last updated

Aug 10, 2016By the provider in NPPES

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1669523312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952470895",
            "telephone_number": "209-743-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MAIN ST",
            "address_2": "PO BOX 895",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952479625",
            "telephone_number": "209-743-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENKE",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leslie Berner, PH.D
• Shaune Marie Dugan Brady, LMFT
• Denise Connich, L.M.F.T.
• Susan Deax-Keirns, MFT
• Isaac Del Toro, D.C.
• Raquel Lee Dunn
• Charlene Marie Eisenman, D.C.
• Stacy V Elliott, MFT
• Ashley Serafina Friend
• Judith M. Goglia, MFT

• Clinical Psychologist in Murphys, CA
• Providers in Murphys, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.