Susan Rebecca McClosky, IMF 54639
Marriage & Family Therapist in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1750550596
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1750550596
- Entity type
- Individual (NPI-1)
- Name
- Susan Rebecca McClosky
- Credential
- IMF 54639
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2008
- Last updated
- Feb 26, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF 54639 | CA | Yes |
Practice location
104 Walnut AveSuite 208
Santa Cruz, CA 95060-3900
Phone 831-423-9444 · Fax 831-423-9444
Mailing address
104 Walnut AveSuite 208
Santa Cruz, CA 95060-3900
Phone 831-423-9444 · Fax 831-423-9444
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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