SUSAN HAVERTY
NPI 1720296379
Specialist in Sacramento, CA

Active since May 18, 2007
3067 FREEPORT BLVD, SACRAMENTO, CA 95818(916) 355-8721 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Haverty NPPES

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

SUSAN HAVERTY (NPI 1720296379) is a healthcare organization registered as a specialist in Sacramento, California and active in the NPI registry since May 2007. The organization lists Susan Haverty, Counselor, as its authorized official.

NPPES Registry Identity

NPI1720296379
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUSAN HAVERTY
Location Address3067 FREEPORT BLVDSacramento, CA 95818-4347
Mailing AddressPo Box 2842Rancho Cordova, CA 95741-2842
Organization SubpartNo
Authorized OfficialSusan HavertyCounselor · (916) 355-8721
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1720296379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · MFC44110
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3067 FREEPORT BLVD, Sacramento, CA 95818

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.

Psychologist (Cognitive & Behavioral)
3067 FREEPORT BLVD
SACRAMENTO, CA 95818

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 Haverty's NPI number?

The NPI number for Susan Haverty is 1720296379. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Susan Haverty located?

Susan Haverty is located at 3067 Freeport Blvd, Sacramento, CA 95818. The listed phone number is (916) 355-8721.

What is Susan Haverty's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Haverty was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.