Susannah Ruth Feder, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

13386 Issued in CA

Practice address

4713 1St St Ste 254
Pleasanton, CA 94566-7361

Phone

(925) 989-5300

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Navin Mallavaram, M.D., Inc.

  • Interventional Pain Medicine Physician
  • Pleasanton, CA
  • NPI 1164708582
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1992822803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 1ST ST STE 254",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667361",
            "telephone_number": "925-989-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 1ST ST STE 254",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667361",
            "telephone_number": "925-989-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDER",
        "first_name": "SUSANNAH",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faranda Thomson Enterprises Dba:Home Helpers and Direct Link
• Teresa E Farias
• Arooj Fatima
• Lisa Rosemary Fazzolari, DO
• Marjan Fedai
• Catherine Anne Felisky, MD
• Christian Anthony Fernandes
• Fernandina G Lo MD Inc
• Allyson Ferreira
• Samantha Lee Ferreira

• Clinical Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.