MS. SUSAN LYNNE BLAINE MFT
NPI 1174542666
Marriage & Family Therapist in Davis, CA

Q: What is Susan Blaine's NPI number?

The NPI number for Susan Blaine is 1174542666. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Susan Blaine's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Blaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2006

1260 LAKE BLVD, SUITE 243, DAVIS, CA 95616(530) 297-1601(530) 297-6864 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Susan Lynne Blaine Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN LYNNE BLAINE MFT (NPI 1174542666) is an individual marriage & family therapist in Davis, California, licensed in California (MFC33852) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174542666

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUSAN LYNNE BLAINECredential: MFT

Location Address1260 LAKE BLVD, SUITE 243Davis, CA 95616-2614

Mailing Address1260 Lake Blvd, Suite 243Davis, CA 95616-2614 · (530) 297-1601 · Fax (530) 297-6864

Phone(530) 297-1601

Fax(530) 297-6864

Sole ProprietorYes

Enumeration DateJuly 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174542666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC33852

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.

1260 LAKE BLVD, Davis, CA 95616

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Other Identifiers 1

OtherMFC33852CA · Bbs License Number

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROWAN E FOLEY LEP

Psychologist (School)

1260 LAKE BLVD, WL-228
DAVIS, CA 95616

Yolo County (530) 219-4309

BREAKTHROUGH EDUCATION SUPPORT

Psychologist (School)

1260 LAKE BLVD, WL-228
DAVIS, CA 95616

Yolo County (530) 219-4309

DONNA LISBETH HIRSCHFIELD MFT

Marriage & Family Therapist

1260 LAKE BLVD, SUITE #239
DAVIS, CA 95616

Yolo County (530) 756-5313

DR. KENNETH C WALLIS M.D.

Psychiatry & Neurology (Psychiatry)

1260 LAKE BLVD, SUITE #214
DAVIS, CA 95616

Yolo County (530) 771-2308

LINDA S MICHAEL PSY. D.

Psychologist (Clinical)

1260 LAKE BLVD, SUITE 224
DAVIS, CA 95616

Yolo County (510) 847-2982

DR. DIANE JOAN SOMMERS PH.D.

Psychologist

1260 LAKE BLVD, SUITE 217
DAVIS, CA 95616

Yolo County (530) 297-7757

JENIFER BUTERA LMFT

Marriage & Family Therapist

1260 LAKE BLVD, SUITE 242
DAVIS, CA 95616

Yolo County (530) 771-2308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Blaine's NPI number?

The NPI number for Susan Blaine is 1174542666. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Susan Blaine located?

Susan Blaine practices at 1260 Lake Blvd Suite 243, Davis, CA 95616. The listed phone number is (530) 297-1601.

What is Susan Blaine's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Susan Blaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.