Active NPI
Carolyn Cross Suttle, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1871168823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125851
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (858) 249-6748
- NPI assigned
- May 21, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 125851 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (858) 249-6748
Other practice location 1
10 Larkfield Ln
Laguna Niguel, CA 92677-5323
Phone (714) 624-6343
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1871168823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "858-249-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "858-249-6748"
}
],
"practiceLocations": [
{
"address_1": "10 Larkfield Ln",
"address_purpose": "LOCATION",
"city": "Laguna Niguel",
"state": "CA",
"postal_code": "926775323",
"country_code": "US",
"telephone_number": "714-624-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTLE",
"first_name": "CAROLYN",
"middle_name": "CROSS",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.