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SUSAN DERBY
NPI 1689120545
Student in an Organized Health Care Education/Training Program in Venice, CA

Active since August 31, 2016
204 HAMPTON DR, VENICE, CA 90291(310) 396-6468 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2017, Aug 31, 2016 (2 updates tracked since 2016).

About Susan Derby NPPES

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

SUSAN DERBY (NPI 1689120545) is an individual student in an organized health care education/training program in Venice, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1689120545
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSAN DERBY
Location Address204 HAMPTON DRVenice, CA 90291-2623
Mailing Address204 Hampton DrVenice, CA 90291-2623
Phone(310) 396-6468
Sole ProprietorNo
Enumeration DateAugust 31, 2016
Last NPPES UpdateMarch 27, 20172 updates tracked since enumeration
✔ NPI 1689120545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
204 HAMPTON DR, Venice, CA 90291
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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. KARA LEIGH SMITH
Social Worker (Clinical)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
JORGE GUERREIRO JR.
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
BANNUPRIYA RAMACHANDRAN
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
FLYNN LOUISE KLACE
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
KATIE LEWIS
Case Manager/Care Coordinator
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 399-6878
LAURIE ADRIANE MILLAN
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 309-6001
CARRIE ELIZABETH SEAY
Case Manager/Care Coordinator
204 HAMPTON DR, 13
VENICE, CA 90291
Los Angeles County (310) 399-6878
DR. JOSEPH RYAN MCCOWAN PSYD
Psychologist
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (323) 840-4758

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 Derby's NPI number?

The NPI number for Susan Derby is 1689120545. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Susan Derby located?

Susan Derby practices at 204 Hampton Dr, Venice, CA 90291. The listed phone number is (310) 396-6468.

What is Susan Derby's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Susan Derby was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.