Active NPI
Susan Ayako Ono Mochizuki
- Clinical Psychologist
- Alameda, CA
National Provider Identifier
1932227535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18690
- Practice address
- 2325 Clement Ave
Alameda, CA 94501-1421 - Phone
- (510) 522-8363
- Fax
- (510) 865-1930
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18690 | CA | Primary |
Addresses
Primary practice location
2325 Clement Ave
Alameda, CA 94501-1421
Mailing address
2325 Clement Ave
Alameda, CA 94501-1421
Phone (510) 522-8363
Other names 1
- Susan A. Ono
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2024 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18690 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY18690 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ono Psychological Professional Corporation | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alameda, CA
- NPI 1114808334
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": "1195084800000",
"number": "1932227535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 CLEMENT AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011421",
"telephone_number": "510-522-8363",
"fax_number": "510-865-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CLEMENT AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011421",
"telephone_number": "510-522-8363",
"fax_number": "510-865-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCHIZUKI",
"first_name": "SUSAN",
"middle_name": "AYAKO ONO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "ONO",
"middle_name": "A.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.