SUSAN ENOCHS


Address: 1650 Borel Pl Ste 125, San Mateo, CA 94402-3507
Phone: 6506197677

SUSAN ENOCHS (NPI# 1932303625) 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) 1932303625
Entity Type Individual
Full Name SUSAN ENOCHS
Credential PHD
Practice Address 1650 Borel Pl Ste 125
San Mateo
CA 94402-3507
Mailing Address 3555 S El Camino Real # 113
San Mateo
CA 94403-3415
Practice Telephone 6506197677
Practice Fax Number 6505771014
Mailing Telephone 6596197677
Mailing Fax Number 6505771014
Enumeration Date 2007-06-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY15937 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1650 BOREL PL STE 125
City SAN MATEO
State CA
Zip Code 94402-3507

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1982122503 Madeline Pielert Social Worker 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 2017-09-04
1629512348 Travis Woodmansee Marriage & Family Therapist 419 S El Dorado St, San Mateo, CA 94402 2016-12-14
1669820858 Mohan Sundareson Pediatrics 1638 South Grant St, San Mateo, CA 94402 2016-05-27
1457712572 New Life Acupuncture Clinic Acupuncturist 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 2016-03-17
1871951434 Nanami Oba Physical Therapy Assistant 20 Bennigton Dr., San Mateo, CA 94402 2016-02-10
1780059733 Adrianna Cimera Behavioral Analyst 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 2015-12-02
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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
1982226387 Elizabeth Sokolik Green Psychologist 26 Seville Way, San Mateo, CA 94402-2831 2020-05-08
1306481288 Andrew Charlton Sweet Psychologist 177 Bovet Rd Ste 540, San Mateo, CA 94402-3121 2019-11-14
1265962146 Soo Uhm Psychologist 1010 S El Camino Real Ste A, San Mateo, CA 94402-2802 2017-06-14
1336690924 Courtney Chappuis Farmer Psychologist 87 Lodato Ave, San Mateo, CA 94403-1723 2016-10-18
1730469198 Ann K Rawley Psychologist 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 2011-08-17
1104137637 Marie Sara Rivera Yap Psychologist 1720 S Amphlett Blvd Ste 220g, San Mateo, CA 94402-2713 2010-06-30
1235368135 Patrice Fortune Psychologist 63 Bovet Road #221, San Mateo, CA 94402-3104 2009-07-13
1851597058 Stan Friedman Psychologist 100 S Ellsworth Ave Ste 511, San Mateo, CA 94401-3929 2007-06-25
1184836330 June Marie Martin Psychologist 1100 S. El Camino Real, Suite #3, San Mateo, CA 94402 2007-05-03
1982822755 Leta Zwiebel Psychologist 155 Bovet Road, Suite 404, San Mateo, CA 94402-3136 2007-04-24
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Competitor

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City SAN MATEO
Zip Code 94402

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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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