Dr. Susannah Ruth Feder, Psy.D

Psychologist, Clinical in Pleasanton, CA. Individual provider (NPI-1).

NPI number1992822803

StatusActive

Last updated in NPPESMar 16, 2011

Details

NPI: 1992822803
Entity type: Individual (NPI-1)
Name: Dr. Susannah Ruth Feder
Credential: Psy.D
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 24, 2007
Last updated: Mar 16, 2011

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
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
103TC0700X	Psychologist, Clinical	13386	CA	Yes

Practice location

4713 1st St Ste 254
Pleasanton, CA 94566-7361

Phone 925-989-5300

Mailing address

4713 1st St Ste 254
Pleasanton, CA 94566-7361

Phone 925-989-5300

Is something wrong?

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Other Clinical Psychologist providers in Pleasanton, CA

All 40 Clinical Psychologist providers in Pleasanton · All 2,763 providers in Pleasanton

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