Susan Lake, PSYD

ActiveIndividual ProviderSpecialty not listed
NPI issued: September 10, 2011

Quick Facts

NPI Number
1962784488
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy225C00000X — Specialty not listed
Phone
(415) 459-5999
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1962784488)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (September 10, 2011)
Data source: CMS NPPES

Provider Overview

SUSAN LAKE, PSYD is a Healthcare provider based in San Rafael, CA who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962784488
Provider TypeIndividual Provider
GenderFemale
CredentialPSYD
StatusActive
Enumeration DateSeptember 10, 2011

Practice Location

CitySan Rafael
StateCA
ZIP Code94901-2142
Phone(415) 459-5999

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code225C00000X
License StateCA

Mailing Address

CitySan Rafael
StateCA
ZIP Code94901-2142
Phone(415) 459-5999
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1962784488 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962784488for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962784488 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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2,458
Specialty not listed Providers in the US

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People Also Ask

What is Susan Lake's NPI number?
Susan Lake's NPI number is 1962784488, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Susan Lake's NPI currently active?
Yes, Susan Lake's NPI status is Active as of the latest CMS NPPES database updates.
What does Susan Lake specialize in?
Susan Lake specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 225C00000X.
Where does Susan Lake practice?
Susan Lake practices in San Rafael, CA 94901-2142.
When was Susan Lake's NPI issued?
Susan Lake's NPI was issued on September 10, 2011.
What is Susan Lake's provider type?
Susan Lake is registered as an Individual Provider under CMS NPI Type 1.