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MR. JUSTIN WALLY SUDDUTH
NPI 1467726992
Case Manager/Care Coordinator in Eureka, CA

Active since March 01, 2012

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Justin Wally Sudduth NPPES

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

MR. JUSTIN WALLY SUDDUTH (NPI 1467726992) is an individual case manager/care coordinator provider in Eureka, California and active in the NPI registry since March 2012. He maintains a secondary practice location in Chico.

NPPES Registry Identity

NPI1467726992
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JUSTIN WALLY SUDDUTH
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address592 Rio Lindo AveChico, CA 95926-1817 · (530) 891-2775
Phone(707) 268-2990
Sole ProprietorYes
Enumeration DateMarch 1, 2012
Last NPPES UpdateMay 18, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1467726992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
720 WOOD ST, Eureka, CA 95501
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Secondary Practice Location 1

Location 1592 Rio Lindo AveChico, CA 95926-1817 · Phone (530) 891-2775

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.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY INC
Psychiatry & Neurology (Neurology)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 502-5519
JACQUELYN WHITE
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710

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 Justin Sudduth's NPI number?

The NPI number for Justin Sudduth is 1467726992. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Justin Sudduth located?

Justin Sudduth practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.

What is Justin Sudduth's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Justin Sudduth was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.