Active NPI
Luisana Suchilt, PHD
- Psychologist
- San Bernardino, CA
National Provider Identifier
1770193930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36252
- Practice address
- 1365 S Waterman Ave
San Bernardino, CA 92408-2804 - Phone
- (909) 890-4767
- NPI assigned
- Aug 3, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36252 | CA | Primary |
Addresses
Primary practice location
1365 S Waterman Ave
San Bernardino, CA 92408-2804
Mailing address
1365 S Waterman Ave
San Bernardino, CA 92408-2804
Other names 1
- Luisana Sushilt-Urena
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36252 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1770193930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 S WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 S WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082804",
"telephone_number": "909-890-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHILT",
"first_name": "LUISANA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "36252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUISANA",
"last_name": "SUSHILT-URENA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.