Active NPI
Susan Moore Marriage and Family Therapy Inc
- Marriage & Family Therapist
- Vacaville, CA
National Provider Identifier
1801768445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SUSAN MOORE MARRIAGE AND FAMILY THERAPY INC
- Practice address
- 401 Boyd St
Vacaville, CA 95688-4521 - Phone
- (707) 266-6066
- NPI assigned
- Sep 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Moore, LMFT
- Title
- President
- Phone
- (707) 812-1550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
401 Boyd St
Vacaville, CA 95688-4521
Mailing address
2137 Misty Oaks CT
Fairfield, CA 94534-7973
Phone (707) 266-6066
Other practice location 1
1508 F St
Sacramento, CA 95814-1609
Phone (707) 812-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Vacaville, CA
- NPI 1760183693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1801768445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 MISTY OAKS CT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945347973",
"telephone_number": "707-266-6066",
"fax_number": "707-266-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOYD ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884521",
"telephone_number": "707-266-6066"
}
],
"practiceLocations": [
{
"address_1": "1508 F St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958141609",
"country_code": "US",
"telephone_number": "707-812-1550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUSAN MOORE MARRIAGE AND FAMILY THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-812-1550",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.