Sue Mayo, MFT
Individual provider Active NPI Marriage & Family Therapist · Lafayette, CA
NPI 1922101997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922101997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC37211 (CA)
- Practice address
- 3184 Old Tunnel Rd Ste D
Lafayette, CA 94549-4153 - Phone
- (925) 284-0699
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2024 through Feb 29, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC37211 | CA | MD | Marriage & Family Therapist |
| 37211 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC37211 | CA | Yes |
Addresses
Primary practice location
3184 Old Tunnel Rd Ste D
Lafayette, CA 94549-4153
Mailing address
3184 Old Tunnel Rd
Suite D
Lafayette, CA 94549-4153
Phone (925) 284-0699
Other providers in Lafayette, CA
- Eric Anton Martin
- Navpreet Marwaha
- John David Mason
- David Matz
- Brianna May
- William Russell McCandless
- Thomas Hall McCord
- Amani McCrary
- Michele McLaverty
- Rhiannon McNamara
All providers in Lafayette, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.