SUSAN FAN AMFT
NPI 1639026669
Marriage & Family Therapist in Los Altos, CA

Q: What is Susan Fan's NPI number?

The NPI number for Susan Fan is 1639026669. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Q: What is Susan Fan'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 Fan was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 10, 2026

4984 EL CAMINO REAL STE 208, LOS ALTOS, CA 94022(650) 297-3400(650) 897-1005 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Susan Fan Amft NPPES

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

SUSAN FAN AMFT (NPI 1639026669) is an individual marriage & family therapist in Los Altos, California, licensed in California (124759) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1639026669

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSAN FANCredential: AMFT

Location Address4984 EL CAMINO REAL STE 208Los Altos, CA 94022-1433

Mailing AddressPo Box 60847Palo Alto, CA 94306-0847 · (650) 297-3400 · Fax (650) 897-1005

Phone(650) 297-3400

Fax(650) 897-1005

Sole ProprietorYes

Enumeration DateMarch 10, 2026

NPPES CertifiedMarch 10, 2026

✔ NPI 1639026669 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 · 124759

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.

4984 EL CAMINO REAL STE 208, Los Altos, CA 94022

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THERESA DAGONDON BRINKMAN

Marriage & Family Therapist

4984 EL CAMINO REAL STE 208
LOS ALTOS, CA 94022

Santa Clara County (650) 297-3400

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 Fan's NPI number?

The NPI number for Susan Fan is 1639026669. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Susan Fan located?

Susan Fan practices at 4984 El Camino Real Ste 208, Los Altos, CA 94022. The listed phone number is (650) 297-3400.

What is Susan Fan's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Fan was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.