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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY10357 | CA | Behavioral Health & Social Service Providers |
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 |
Street Address |
1187 UNIVERSITY DR |
City | MENLO PARK |
State | CA |
Zip Code | 94028 |
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 |
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 Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
City | MENLO PARK |
Zip Code | 94028 |
Please comment or provide details below to improve the information on SUSAN EILEEN LIGHT.
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.