Address: 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028
Phone: 8588764774

MS. MELISSA SUSAC (NPI# 1720527971) 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) 1720527971
Entity Type Individual
Credential MFT
Practice Address 1540 Schrader Blvd
Garden Suite 12
CA 90028
Mailing Address 2214 Canyon Dr
Los Angeles
CA 90068-2402
Practice Telephone 8588764774
Mailing Telephone 8588764774
Enumeration Date 2017-02-21
Last Update Date 2017-02-21
Gender Code F
Is Sole Proprietor Y


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 96855 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1540 SCHRADER BLVD
State CA
Zip Code 90028

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1639715030 Michelle Jennifer Martinez Case Manager/Care Coordinator 6838 Sunset Blvd., Hollywood, CA 90028 2019-11-20
1821562315 Ronnie Jerome Jackson Case Manager/Care Coordinator Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 2019-01-17
1669961595 Danielle Arce Dietitian, Registered 6721 De Longpre Ave, Los Angeles, CA 90028 2018-05-07
1982124772 Yoon Kyung Lee Pharmacist 7201 Hollywood Blvd, Los Angeles, CA 90028 2017-06-22
1982133245 Julia West Pharmacist 6201 Hollywood Blvd #126, Los Angeles, CA 90028 2017-06-08
1023554284 Arlene Aranda Social Worker 1873 Taft Ave, Los Angeles, CA 90028 2017-01-12
1912304775 Damon Dodge Marriage & Family Therapist 7083 Hollywood Blvd, Los Angeles, CA 90028 2014-11-21
1538412838 Lizette Davillier Social Worker 1427 N. La Brea Ave., Los Angeles, CA 90028 2012-10-24
Find all providers in zip 90028

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881208304 Zuwania Lynette Smith Marriage & Family Therapist 2312 Mayo St, Hollywood, FL 33020-6240 2020-09-02
1508489188 Jessica Popham Marriage & Family Therapist 1437 Dewey St, Hollywood, FL 33020-6136 2020-05-18
1760910541 Angela Dipasquale Marriage & Family Therapist 450 N Park Road, Hollywood, FL 33021 2017-05-24
1851827018 Arlett Theresa Bagalue-Tracey Marriage & Family Therapist 450 North Park Road Ste. 600, Hollywood, FL 33021 2017-05-10
1801334719 Sara Smith Marriage & Family Therapist 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 2017-02-10
1326356486 Cecile Marie Dumornay Marriage & Family Therapist 6509 Flagler St, Hollywood, FL 33023-2127 2010-09-22
1265753917 Nancy Yvonne Paris Marriage & Family Therapist 3133 N. 34th Street, Hollywood, FL 33021 2010-06-17
1043443963 Rosie Goni Marriage & Family Therapist 3473 Emerald Oaks Dr, Hollywood, FL 33021-8444 2009-08-26
1538322268 Jason Wasser Marriage & Family Therapist 1930 Harrison St, Suite 205, Hollywood, FL 33020-7824 2008-07-02
1992911085 Karen H Shatz Marriage & Family Therapist 441 S Surf Rd, Hollywood, FL 33019-2014 2007-05-15
Find all providers in HOLLYWOOD


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Zip Code 90028

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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.