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SUSIE SHIN-CALANDRELLA MD
NPI 1790859775
Psychiatry & Neurology - Child & Adolescent Psychiatry in Petaluma, CA

Active since November 20, 2006
365 KUCK LN, PETALUMA, CA 94952(707) 806-9393 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susie Shin-calandrella Md NPPES

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

SUSIE SHIN-CALANDRELLA MD (NPI 1790859775) is an individual child & adolescent psychiatry provider in Petaluma, California, licensed in California (A92898) and active in the NPI registry since November 2006. She maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1790859775
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSUSIE SHIN-CALANDRELLACredential: MD
Location Address365 KUCK LNPetaluma, CA 94952-9606
Mailing Address911 Lakeville St # 146Petaluma, CA 94952-3329
Phone(707) 806-9393
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
✔ NPI 1790859775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A92898
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
365 KUCK LN, Petaluma, CA 94952
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Secondary Practice Location 1

Location 11000 W Carson St, Box 498Torrance, CA 90502-2004 · Phone (310) 222-3178

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.

KELSEY GIELEN
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
MICHELLE LEONARD
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
LISA BENITEZ MA
Marriage & Family Therapist
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
JULI WALTERS
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
KYLE LEW
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
STEPHEN DONNELLAN
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
GEORGE WIEGAND
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
NATALIE CONRAD PSYCHOLOGIST
Psychologist
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954

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 Susie Shin-calandrella's NPI number?

The NPI number for Susie Shin-calandrella is 1790859775. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Susie Shin-calandrella located?

Susie Shin-calandrella practices at 365 Kuck Ln, Petaluma, CA 94952. The listed phone number is (707) 806-9393.

What is Susie Shin-calandrella's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Susie Shin-calandrella was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.