Individual provider Active NPI

Susan Amanda Schratter, MFT

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1750714937
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51772 Issued in CA
Practice address
7765 Healdsburg Ave Ste 5
Sebastopol, CA 95472-3355
Phone
(415) 302-8185
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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 51772 CA Primary

Addresses

Primary practice location

7765 Healdsburg Ave Ste 5
Sebastopol, CA 95472-3355

Mailing address

7765 Healdsburg Ave Ste 5
Sebastopol, CA 95472-3355
Phone (415) 302-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1750714937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE STE 5",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723355",
            "telephone_number": "415-302-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE STE 5",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723355",
            "telephone_number": "415-302-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRATTER",
        "first_name": "SUSAN",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.