Individual provider Active NPI

Susan Rores Salluce, M.A., MFTI, C.T.

  • Marriage & Family Therapist
  • Placerville, CA
National Provider Identifier
1679797583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 48946 Issued in CA
Practice address
344 Placerville Dr
Suite 10
Placerville, CA 95667-3920
Phone
(530) 626-5164
Fax
(530) 626-0670
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 48946 CA Primary

Addresses

Primary practice location

344 Placerville Dr
Suite 10
Placerville, CA 95667-3920

Mailing address

344 Placerville Dr
Suite 10
Placerville, CA 95667-3920
Phone (530) 626-5164

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 48946CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679797583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 PLACERVILLE DR",
            "address_2": "SUITE 10",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673920",
            "telephone_number": "530-626-5164",
            "fax_number": "530-626-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 PLACERVILLE DR",
            "address_2": "SUITE 10",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673920",
            "telephone_number": "530-626-5164",
            "fax_number": "530-626-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLUCE",
        "first_name": "SUSAN",
        "middle_name": "RORES",
        "name_prefix": "Mrs.",
        "credential": "M.A., MFTI, C.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 48946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.