DR. SUSAN RAY TATE PH.D.
NPI 1184705261
Psychologist - Group Psychotherapy in San Diego, CA

Q: What is Susan Tate's NPI number?

The NPI number for Susan Tate is 1184705261. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Susan Tate's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Q: When was this NPI record last updated?

The NPPES record for Susan Tate was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 October 17, 2006

3350 LA JOLLA VILLAGE DR # 116B, SAN DIEGO, CA 92161(858) 552-8585(858) 642-3557 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan Ray Tate Ph.d. NPPES

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

DR. SUSAN RAY TATE PH.D. (NPI 1184705261) is an individual group psychotherapy provider in San Diego, California, licensed in California (17625) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184705261

Entity TypeIndividualFemale

Primary Taxonomy103TP2701X

Provider Legal NameDR. SUSAN RAY TATECredential: PH.D.

Location Address3350 LA JOLLA VILLAGE DR # 116BSan Diego, CA 92161-0002

Mailing Address3350 La Jolla Village Dr # 116bSan Diego, CA 92161-0002 · (858) 552-8585 · Fax (858) 642-3557

Phone(858) 552-8585

Fax(858) 642-3557

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1184705261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

License✔ Licensed in CA · 17625

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Also ListedPsychologistTaxonomy 103T00000X · License 17625 (CA)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 17625 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 17625 (CA)

3350 LA JOLLA VILLAGE DR # 116B, San Diego, CA 92161

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Other Providers at the Same Location NPPES 6

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

DROR BEN-ZEEV PH.D.

Student in an Organized Health Care Education/Training Program