Susan Haverty

Primary specialty

SpecialistTaxonomy code 174400000X

License

MFC44110 Issued in CA

Legal business name

SUSAN HAVERTY

Practice address

3067 Freeport Blvd
Sacramento, CA 95818-4347

Phone

(916) 355-8721

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Susan Haverty

Title

Counselor

Phone

(916) 355-8721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720296379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2842",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957412842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 FREEPORT BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958184347",
            "telephone_number": "916-355-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HAVERTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVERTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "916-355-8721"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "MFC44110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Surrey-Miller, LMFT
• Rebecca Lynne Surrey, MD
• Maria Surti, PHARMD
• Sanmukan Surulinathan
• Trang Surve
• Susan K. Mendez, Psy.D.
• Susan Lewis, L.C.S.W.
• Matthew James Susanka, M.D.
• Jonathan Ponce Susas, PT
• Veronica Susbilla

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.