Active NPI
Suzanne Gere, PH. D.
- Clinical Psychologist
- Carlsbad, CA
National Provider Identifier
1932200607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 15773
- Practice address
- 2382 Faraday Ave
Suite 250
Carlsbad, CA 92008-7218 - Phone
- (760) 815-8585
- Fax
- (760) 230-1074
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 15773 | CA | Primary |
Addresses
Primary practice location
2382 Faraday Ave
Suite 250
Carlsbad, CA 92008-7218
Mailing address
1252 Rubenstein Ave.
Cardiff, CA 92007
Phone (760) 815-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1297731 | Medicaid | CA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 15773 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1932200607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 RUBENSTEIN AVE.",
"city": "CARDIFF",
"state": "CA",
"postal_code": "92007",
"telephone_number": "760-815-8585",
"fax_number": "760-230-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2382 FARADAY AVE",
"address_2": "SUITE 250",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920087218",
"telephone_number": "760-815-8585",
"fax_number": "760-230-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERE",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 15773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1297731",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.