Individual provider Active NPI

Susan Elizabeth Sattler, MFT

  • Marriage & Family Therapist
  • Petaluma, CA
National Provider Identifier
1851542443
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 23173 Issued in CA
Practice address
47 6TH St
Suite 107
Petaluma, CA 94952-3092
Phone
(707) 763-5326
Fax
(707) 824-1480
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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 MFC 23173 CA Primary

Addresses

Primary practice location

47 6TH St
Suite 107
Petaluma, CA 94952-3092

Mailing address

47 6TH St
Suite 107
Petaluma, CA 94952-3092
Phone (707) 763-5326

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

State licenses

LicenseStateTypeSpecialty
MFC 23173CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1851542443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 6TH ST",
            "address_2": "SUITE 107",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523092",
            "telephone_number": "707-763-5326",
            "fax_number": "707-824-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 6TH ST",
            "address_2": "SUITE 107",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523092",
            "telephone_number": "707-763-5326",
            "fax_number": "707-824-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTLER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 23173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.