SUSAN HARRIET KAVANAGH AMFT
NPI 1215715602
Marriage & Family Therapist in Santa Cruz, CA

Q: What is Susan Kavanagh's NPI number?

The NPI number for Susan Kavanagh is 1215715602. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Q: What is Susan Kavanagh'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 Kavanagh was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 18, 2023

700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062(831) 996-1222 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Harriet Kavanagh Amft NPPES

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

SUSAN HARRIET KAVANAGH AMFT (NPI 1215715602) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (141524) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1215715602

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSAN HARRIET KAVANAGHCredential: AMFT

Location Address700 FREDERICK ST STE 103Santa Cruz, CA 95062-2239

Mailing Address700 Frederick St Ste 103Santa Cruz, CA 95062-2239 · (831) 996-1222

Phone(831) 996-1222

Sole ProprietorNo

Enumeration DateSeptember 18, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1215715602 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 · 141524

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.

700 FREDERICK ST STE 103, Santa Cruz, CA 95062

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Other Providers at the Same Location NPPES 20

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

MS. KRISTA DARLENE GALLAGHER MA

Student in an Organized Health Care Education/Training Program