SUSAN EILEEN LIGHT


Address: 1187 University Dr, Menlo Park, CA 94028
Phone: 6503212414

SUSAN EILEEN LIGHT (NPI# 1285786202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285786202
Entity Type Individual
Full Name SUSAN EILEEN LIGHT
Credential PHD
Practice Address 1187 University Dr
Menlo Park
CA 94028
Practice Telephone 6503212414
Mailing Telephone 6503212414
Enumeration Date 2007-01-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY10357 CA Behavioral Health & Social Service Providers

Other Providers SUSAN LIGHT

NPI Name Taxonomy Address Enumeration
1780706929 Susan F. Light Social Worker 8 E 96th St # 3a, New York, NY 10128-0706 2007-04-06
1619077278 Susan Light Nurse Practitioner University of California 2222bancroft Way, Berkeley, CA 94720-0001 2006-09-24
1548897754 Susan M Light Occupational Therapist 585 White Pond Dr, Akron, OH 44320-1115 2020-03-26

Office Location

Street Address 1187 UNIVERSITY DR
City MENLO PARK
State CA
Zip Code 94028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245251248 Peter Newsom, M.d. Psychiatry & Neurology 1187 University Dr, Menlo Park, CA 94025-4423 2006-07-22
1679798375 Edward Miklos Kovachy Jr. Psychiatry & Neurology 1187 University Dr, Suite #6, Menlo Park, CA 94025-4423 2007-04-16
1306992755 James Robert Missett Psychiatry & Neurology 1187 University Dr, Suite 8, Menlo Park, CA 94025-4423 2007-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922512979 Rochelle Marie Perucca Counselor 501 Portola Rd. #8046, Portola Valley, CA 94028 2017-11-29
1285854299 Thomas James Fogarty Thoracic Surgery (Cardiothoracic Vascular Surgery) 3270 Alpine Road, Portola Valley, CA 94028 2007-05-01
1790806131 Ning Tang Internal Medicine 3250 Alpine Road, Stanford Primary Care, Portola Valley, CA 94028 2007-04-03
1174652622 Catherine Sonquist Forest Family Medicine 3240 Alpine Rd, Stanford Community Primary Care, Portola Valley, CA 94028 2007-03-02
1083767701 Matthew S Plume Physical Therapist 150 Portola Road, Suite B, San Francisco, CA 94028 2007-01-18
1417045279 Ellen Marie Hoffman Chiropractor 884 Portola Road, A5, Portola Valley, CA 94028 2006-10-10
1376986810 Alice Chung Family Medicine 3250 Alpine Road, Portola Valley, CA 94028 2013-04-15
1144364233 Lucy Stuart Tompkins Internal Medicine 300 Pasteur Drive, Stanford University Medical Center S169, Stanford, CA 94028 2007-02-20
1184991275 Diane J Schiano Counselor 2673 Alpine Rd, Portola Valley, CA 94028-6365 2011-11-17
1932200110 John Kurt Moore Chiropractor 884 Portola Rd, A5, Portola Valley, CA 94028-7264 2006-09-26
Find all providers in zip 94028

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700415098 Thera Inc. Psychologist 90 Middlefield Rd, Menlo Park, CA 94025-4001 2020-04-07
1740838697 Julie Lynn Lustig Psychologist 843 El Camino Real, Menlo Park, CA 94025-4807 2019-09-03
1174181291 Laura Leigh Palmer Psychologist 2048 Sterling Ave, Menlo Park, CA 94025-6016 2019-06-04
1134782089 Nicole Shiloff Psychologist 1150 University Dr Ste 101, Menlo Park, CA 94025-4447 2019-04-16
1548635568 Karen Dearing Psychologist 1220 University Dr Ste 102, Menlo Park, CA 94025-4259 2015-12-02
1457759888 Julian Gorodsky Psychologist 870 Coleman Ave, Menlo Park, CA 94025-2408 2014-12-17
1528370285 Constance Dowd Burton Psychologist 800 Menlo Ave Ste 209, Menlo Park, CA 94025-4732 2010-07-10
1598077380 Diane Strachowski Psychologist 1220 University Dr Ste 202, Menlo Park, CA 94025-4259 2010-07-08
1962632760 Elke Jahn Psychologist 800 Menlo Ave Ste 120, Menlo Park, CA 94025-4732 2009-07-15
1942427554 Juan Pablo Ferrer Psychologist 804 Arbor Rd, Menlo Park, CA 94025-5022 2007-04-18
Find all providers in MENLO PARK

Competitor

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City MENLO PARK
Zip Code 94028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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