SUSANNA VAKILI (NPI# 1457714156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457714156 |
| Entity Type | Individual |
| Full Name | SUSANNA VAKILI |
| Credential | LMFT |
| Practice Address |
30290 Rancho Viejo Rd Ste 105 San Juan Capistrano CA 92675-1575 |
| Mailing Address |
30290 Rancho Viejo Rd Suite 105 San Juan Capistrano CA 92675-1577 |
| Practice Telephone | 9495053381 |
| Mailing Telephone | 9495053381 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 90193 | CA | Behavioral Health & Social Service Providers |
| Street Address |
30290 RANCHO VIEJO RD STE 105 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516588 | Annamarie Helen Barsoe | Marriage & Family Therapist | 31211 Paseo Crucero, San Juan Capistrano, CA 92675-5399 | 2020-04-03 |
| 1215440086 | Your Best Self, A Family Therapy Corp | Marriage & Family Therapist | 31815 Camino Capistrano Ste 15, San Juan Capistrano, CA 92675-3212 | 2017-11-14 |
| 1487199212 | Edmund Fredrick Volk IIi | Marriage & Family Therapist | 27442 Calle Arroyo, San Juan Capistrano, CA 92675-6752 | 2017-01-03 |
| 1285085597 | Carly Ketchum | Marriage & Family Therapist | 30200 Rancho Viejo Rd Ste D, San Juan Capistrano, CA 92675-1560 | 2016-06-28 |
| 1902299563 | Jessica Mathon | Marriage & Family Therapist | 27128 Paseo Espada Ste A1522, San Juan Capistrano, CA 92675-6708 | 2015-03-06 |
| 1689924573 | Mia Collica | Marriage & Family Therapist | 30220 Rancho Viejo Rd Ste F, San Juan Capistrano, CA 92675-1568 | 2012-09-18 |
| 1255637930 | Christina Grace Jesperson-kosinski | Marriage & Family Therapist | 32742 Alipaz St Spc 80, San Juan Capistrano, CA 92675-4125 | 2011-01-28 |
| 1295042752 | Bethany's Gait Inc. | Marriage & Family Therapist | 27252 Calle Arroyo, San Juan Capistrano, CA 92675-2745 | 2010-09-06 |
| 1659514313 | Elizabeth A Bolsinger | Marriage & Family Therapist | 27126 Paseo Espada, Suite 722, San Juan Capistrano, CA 92675-2721 | 2009-04-10 |
| 1740400787 | Gloria Anne Cullinane | Marriage & Family Therapist | 27322 Calle Arroyo, Suite B, San Juan Capistrano, CA 92675-6760 | 2007-05-01 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on SUSANNA VAKILI.
| 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.