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MRS. SUSAN LYNN PAVONE L.M.F.T.
NPI 1407992456
Marriage & Family Therapist in Rancho Cucamonga, CA

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
8253 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(909) 987-1997(909) 987-0993 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Susan Lynn Pavone L.m.f.t. NPPES

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

MRS. SUSAN LYNN PAVONE L.M.F.T. (NPI 1407992456) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (MFC24231) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1407992456
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SUSAN LYNN PAVONECredential: L.M.F.T.
Location Address8253 WHITE OAK AVERancho Cucamonga, CA 91730-7671
Mailing Address6644 Ventura PlAlta Loma, CA 91701-4406
Phone(909) 987-1997
Fax(909) 987-0993
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407992456 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 · MFC24231
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.
8253 WHITE OAK AVE, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Susan Lynn Pavone L.m.f.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022457449
PECOS Enrollment IDI20240418001921
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Pavone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foothills Psychological Services, Inc.
5.8 mi
Psychologist
954 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
NPI 1336121888 (909) 946-4222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ONE ASTERISK CONSULTING, INC
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (951) 255-3539
MRS. CARLA MARIE DAVIDSON LCSW
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
DR. JERRY M GOFFMAN PHD.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (951) 312-1041
DR. MAURA KANE MCAULIFFE PSY.D.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
SOFIA FIROZ M.D.,INC
Psychiatry & Neurology (Psychiatry)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
GEORGINA LAMPHERE PHD
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-1997
DR. CHRISTOPHER ROBIN DEULEN PH.D
Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (090) 987-1997
DR. TRACY CHOVANEC PSY.D.
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 285-4725

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 Pavone's NPI number?

The NPI number for Susan Pavone is 1407992456. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Susan Pavone located?

Susan Pavone practices at 8253 White Oak Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 987-1997.

What is Susan Pavone's specialty?

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

Is Susan Pavone enrolled in Medicare?

Yes. Susan Pavone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susan Pavone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Pavone reassigns Medicare benefits to Foothills Psychological Services, Inc. (Upland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Pavone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Pavone 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.