MRS. SUSAN JEAN BRUNDO MA, MFT
NPI 1174884084
Marriage & Family Therapist in Los Angeles, CA

Q: What is Susan Brundo's NPI number?

The NPI number for Susan Brundo is 1174884084. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Susan Brundo's specialty?

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

Q: Is Susan Brundo enrolled in Medicare?

No. Susan Brundo has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Brundo was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 06, 2012Opted out of Medicare · through Jul 12, 2028

2550 OVERLAND AVE, SUITE 100, LOS ANGELES, CA 90064(310) 552-8027 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mrs. Susan Jean Brundo Ma, Mft NPPES

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

MRS. SUSAN JEAN BRUNDO MA, MFT (NPI 1174884084) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFC24357) and active in the NPI registry since June 2012. She has opted out of Medicare through July 12, 2028.

NPPES Registry Identity

NPI1174884084

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. SUSAN JEAN BRUNDOCredential: MA, MFT

Location Address2550 OVERLAND AVE, SUITE 100Los Angeles, CA 90064-3346

Mailing Address2550 Overland Ave, Suite 100Los Angeles, CA 90064-3346 · (310) 552-8027

Phone(310) 552-8027

Sole ProprietorYes

Enumeration DateJune 6, 2012

✔ NPI 1174884084 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 · MFC24357

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.

2550 OVERLAND AVE, Los Angeles, CA 90064

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Susan Jean Brundo Ma, Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2024 through July 12, 2028.

Opt-Out Effective DateJuly 12, 2024

Opt-Out In Effect ThroughJuly 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

NICOLE ASHTON M.A., MFT

Marriage & Family Therapist

2550 OVERLAND AVE, SUITE 100
LOS ANGELES, CA 90064

Los Angeles County (310) 592-8274

JUDY WU

Marriage & Family Therapist

2550 OVERLAND AVE, SUITE 100
LOS ANGELES, CA 90064

Los Angeles County (310) 753-3209

JILL ROSEN MFT

Marriage & Family Therapist

2550 OVERLAND AVE, SUITE 100
LOS ANGELES, CA 90064

Los Angeles County (310) 559-5566

DR. SARI SHEPPHIRD PH.D.

Psychologist

2550 OVERLAND AVE, SUITE 100
LOS ANGELES, CA 90064

Los Angeles County (310) 826-4300

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 Brundo's NPI number?

The NPI number for Susan Brundo is 1174884084. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Susan Brundo located?

Susan Brundo practices at 2550 Overland Ave Suite 100, Los Angeles, CA 90064. The listed phone number is (310) 552-8027.

What is Susan Brundo's specialty?

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

Is Susan Brundo enrolled in Medicare?

No. Susan Brundo has opted out of Medicare through July 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Brundo was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.