MRS. SUSAN VICTORIA WALLACE (NPI# 1710247812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710247812 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN VICTORIA WALLACE |
| Credential | COUNSELOR |
| Practice Address |
9685 Hayes St Riverside CA 92503-3660 |
| Practice Telephone | 9513514418 |
| Mailing Telephone | 9513514418 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC45089 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477910792 | Susan Anne Wallace | Licensed Practical Nurse | 44 Beechwood Dr, Manorville, NY 11949-2947 | 2016-01-16 |
| 1376842732 | Susan Elizabeth Wallace | Dietitian, Registered | 102 Carran Dr, Lakeside Park, KY 41017-2233 | 2011-03-23 |
| 1598904427 | Susan Leigh Wallace | Specialist | 103 Windwood Rd, North Syracuse, NY 13212-1956 | 2009-02-17 |
| 1366646457 | Susan Taylor Wallace | Speech-Language Pathologist | 3409 Connection Dr, Fayetteville, NC 28311-0151 | 2007-06-12 |
| 1952426025 | Susan Wallace | Acupuncturist | 1009 Solano Ave, # A, Albany, CA 94706-1617 | 2007-03-20 |
| 1447375662 | Susan D. Wallace | Counselor | 166 Pawtucket Avenue, Pawtucket, RI 02860-3811 | 2007-03-20 |
| 1639554769 | Susan Wallace | Physical Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2015-07-30 |
| 1740537687 | Susan R Wallace | Nurse Practitioner | 100 Methodist Blvd, Hattiesburg, MS 39402-1295 | 2012-08-09 |
| 1427203462 | Susan Marie Wallace | Occupational Therapist | 355 Oak Grove Rd, Spartanburg, SC 29301-2537 | 2008-11-18 |
| 1194985887 | Susan Jean Wallace | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-16 |
| Street Address |
9685 HAYES ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667303 | Edward James Fritz | Psychologist | 9685 Hayes St, Riverside, CA 92503-3660 | 2007-03-16 |
| 1396351987 | Cedric Fields | Counselor | 9685 Hayes St, Riverside, CA 92503-3660 | 2020-09-18 |
| 1275988263 | Nicole Watson | Marriage & Family Therapist | 9685 Hayes St, Riverside, CA 92503-3660 | 2016-04-27 |
| 1427465541 | Michelle D Davidson | Counselor | 9685 Hayes St, Riverside, CA 92503-3660 | 2014-07-21 |
| 1235498973 | Ann Elizabeth Miller | Counselor | 9685 Hayes St, Riverside, CA 92503-3660 | 2012-05-15 |
| 1548528144 | Catherine Mildred Behnke | Marriage & Family Therapist | 9685 Hayes St, Riverside, CA 92503-3660 | 2012-05-02 |
| 1629373725 | Operation Safehouse | Community/Behavioral Health | 9685 Hayes St, Riverside, CA 92503-3660 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1164029799 | Buchanan Family Foundation | Marriage & Family Therapist | 1410 3rd St Ste 12, Riverside, CA 92507-3422 | 2020-10-06 |
| 1801401211 | Sachin Kumar Mathur | Marriage & Family Therapist | 10934 Elkwood Cir, Riverside, CA 92503-5286 | 2020-09-11 |
| 1144839770 | Edgar Diaz Garcia | Marriage & Family Therapist | 5995 Palm Ave Apt I, Riverside, CA 92506-1912 | 2020-07-29 |
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1497381743 | Melissa Cherie Sanders | Marriage & Family Therapist | 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 | 2020-03-19 |
| 1992330088 | Angie Garita | Marriage & Family Therapist | 8939 Christopher Pl, Riverside, CA 92503-3303 | 2020-03-09 |
| 1467086082 | Melanie Joy Harriss | Marriage & Family Therapist | 11801 Pierce St # 222, Riverside, CA 92505-4408 | 2020-02-24 |
| 1487296059 | Catherine Parra Haynes | Marriage & Family Therapist | 4344 Latham St, Riverside, CA 92501-0400 | 2019-10-15 |
| 1255973889 | Kimberly Ann Lloyd | Marriage & Family Therapist | 8625 Orchard Park Dr, Riverside, CA 92508-2984 | 2019-10-15 |
| 1255985248 | County of Riverside Mental Health | Marriage & Family Therapist | 3125 Myers St Bldg 2, Riverside, CA 92503-5527 | 2019-07-29 |
| Find all providers in RIVERSIDE | ||||
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| 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.