MS. SUSAN M SHADDICK M.A., MFT
NPI 1487982419
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Susan Shaddick's NPI number?

The NPI number for Susan Shaddick is 1487982419. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Q: What is Susan Shaddick'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 Shaddick was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 02, 2009

621 CHERRY ST, SANTA ROSA, CA 95404(707) 884-9706(707) 884-1930 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Susan M Shaddick M.a., Mft NPPES

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

MS. SUSAN M SHADDICK M.A., MFT (NPI 1487982419) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (37864) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1487982419

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUSAN M SHADDICKCredential: M.A., MFT

Location Address621 CHERRY STSanta Rosa, CA 95404-4202

Mailing Address35501 S Highway 1 Unit 23Gualala, CA 95445-9545 · (707) 889-3442 · Fax (707) 884-1930

Phone(707) 884-9706

Fax(707) 884-1930

Sole ProprietorYes

Enumeration DateDecember 2, 2009

Last NPPES UpdateMarch 31, 2010

✔ NPI 1487982419 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 · 37864

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.

621 CHERRY ST, Santa Rosa, CA 95404

Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

LOUISA GLUCK MFT

Marriage & Family Therapist