Melissa Sue Susman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86889 Issued in CA

Practice address

11340 W Olympic Blvd Ste 266
Los Angeles, CA 90064-1608

Phone

(310) 291-1448

NPI assigned

Sep 30, 2010

Last updated

Apr 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melissa Susman

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1629510318
  NPD (past) Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1841509346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BOCCACCIO AVE # B",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914807",
            "telephone_number": "310-291-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 266",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-291-1448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Machado Ln",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902308800",
            "country_code": "US",
            "telephone_number": "310-737-9344 x271",
            "fax_number": "310-737-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSMAN",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie H Lau, M.D., a Medical Corporation
• Socrates Susim, M.D.
• Anna Tayeko Suskin
• Dacia C Susleck, MSN, RN, CRNA
• Kenneth H Susman, DPM
• Jose Suson
• Katie Susse, D.C.
• Elana Sussman, RD
• Sustainable Economic Enterprises of Los Angeles
• Sustainable Self Inc (Quantum Clinic)

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.