Individual provider Active NPI

Suzanne Huxel Mihlon, PSY.D.

  • Clinical Psychologist
  • La Mesa, CA
National Provider Identifier
1700329851
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30422 Issued in CA
Practice address
9400 Grossmont Summit Dr Ste 303
La Mesa, CA 91941-4129
Phone
(949) 329-8761
NPI assigned
Nov 22, 2016
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30422 CA Primary

Addresses

Primary practice location

9400 Grossmont Summit Dr Ste 303
La Mesa, CA 91941-4129

Mailing address

9400 Grossmont Summit Dr Ste 303
La Mesa, CA 91941-4129
Phone (949) 329-8761

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181220003014 CA Practitioner - Clinical Psychologist 8820343528

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8772 Cuyamaca St
Suite 103
Santee, CA 92071-4206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30422CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Care Group, a Psychological Professional Corporation Clinical CurrentSince Jan 1, 2020 Accepting new patients
Mihlon Psychotherapy Corp CurrentSince Dec 7, 2023 Accepting new patients
Marianna Tsaran MD SC PastSince May 18, 2018 Accepting new patients
In Home Health, LLC Past Accepting new patients

Locations

2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322

9029 Park Plaza Dr
Ste 200
La Mesa, CA 91942

9400 Grossmont Summit Dr
Ste 303
La Mesa, CA 91941
Phone (949) 329-8761

2124 S El Camino Real
Ste 101
Oceanside, CA 92054
Phone (760) 405-4787

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1700329851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GROSSMONT SUMMIT DR STE 303",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414129",
            "telephone_number": "949-329-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GROSSMONT SUMMIT DR STE 303",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414129",
            "telephone_number": "949-329-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHLON",
        "first_name": "SUZANNE",
        "middle_name": "HUXEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.