Active NPI
Susan Marie Baker, MA MFT
- Marriage & Family Therapist
- Camarillo, CA
National Provider Identifier
1699860023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 36547
- Practice address
- 155 Granada Street
Suite N
Camarillo, CA 93010 - Phone
- (805) 987-3162
- Fax
- (805) 383-1502
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 36547 | CA | Primary |
Addresses
Primary practice location
155 Granada Street
Suite N
Camarillo, CA 93010
Mailing address
155 Granada Street
Suite N
Camarillo, CA 93010
Phone (805) 987-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 29, 2025 through Jul 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 36547 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1699860023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GRANADA STREET",
"address_2": "SUITE N",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-987-3162",
"fax_number": "805-383-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GRANADA STREET",
"address_2": "SUITE N",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-987-3162",
"fax_number": "805-383-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "MA MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 36547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.