Sue Ellen Shrader-Hanes, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC30118 Issued in CA

Practice address

10640 Scripps Ranch Blvd Ste 2002ND
San Diego, CA 92131-1095

Phone

(858) 217-5770

Fax

(619) 924-9931

NPI assigned

May 15, 2018

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

Other names 1

• Ms. Sue E Shrader Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Julie Manoogian PSYD Psychologist ApcGroup PAC ID 1850722448, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Julie Manoogian PSYD Psychologist Apc

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1851924401
  Medicare reassignment Care Compare group NPD
• Pacific Coast Psychiatric Associates Inc

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1669962601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SPRINGFIELD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921141531",
            "telephone_number": "619-262-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 SCRIPPS RANCH BLVD STE 2002ND",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311095",
            "telephone_number": "858-217-5770",
            "fax_number": "619-924-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER-HANES",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "SHRADER",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry Dwayne Shoulders, IDC
• Peggy L. Shoval, MD
• Abdo Showah, MD
• Alexander Shpaner, M.D.
• Alex Shpigel, L.AC.
• Darrell S. Shrader, MD
• Rebecca Shragge, DO
• Robert Shrake
• Madison Taylor Shreeve, FNP
• Dechen Sera Shrestha

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.