Sue L Tyner, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

Heritage Clinic 1940 Market Street
San Diego, CA 92102

Phone

(619) 233-3381

Fax

(619) 236-8240

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heritage Clinic and the Community Assistance Program for Seniors

  dba Heritage Los Angeles

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1093049546
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992921308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 VIA MIL CUMBRES",
            "address_2": "#64",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751700",
            "telephone_number": "858-350-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERITAGE CLINIC 1940 MARKET STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92102",
            "telephone_number": "619-233-3381",
            "fax_number": "619-236-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNER",
        "first_name": "SUE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rion O'Nay Tyler, SFIDC
• Elysa Tynan
• Heather Tynan, ND, DACM
• Allison Chae Tyner, SLPA
• Douglas Willard Tyner
• Ryan Joseph Tyra
• Laurie J. Tyrrell, MD
• Carly Tysch
• Alexis Tyson
• Elizabeth Larisa Tyson, PHARMD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.