Active NPI
Susan Robinson
- Behavior Technician
- Anaheim, CA
National Provider Identifier
1861510208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2569 W Woodland Dr
Anaheim, CA 92801-2608 - Phone
- (888) 428-3223
- NPI assigned
- Mar 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Peer Specialist | 175T00000X | MPSS-OXVCLH | CA |
Addresses
Primary practice location
2569 W Woodland Dr
Anaheim, CA 92801-2608
Mailing address
4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Phone (888) 428-3223
Other practice location 1
801 Parkcenter Dr Ste 235
Santa Ana, CA 92705-3588
Phone (714) 948-7980
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
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-OXVCLH | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health America of Los Angeles | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1104942044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1861510208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 WILSHIRE BLVD STE 300A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103537",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 W WOODLAND DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012608",
"telephone_number": "888-428-3223"
}
],
"practiceLocations": [
{
"address_1": "801 Parkcenter Dr Ste 235",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053588",
"country_code": "US",
"telephone_number": "714-948-7980",
"fax_number": "657-208-1374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-OXVCLH",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.