Susan Fry Van Rheenen, is a
Psychologist based in Nevada City, California. Susan Fry Van Rheenen is licensed to practice in California (license number PSY33719) and her current practice location is
138 New Mohawk Rd, Nevada City, California. She can be reached at her office (for appointments etc.) via phone at
(530) 478-0900.
NPI number for Susan Fry Van Rheenen is 1225580723 and her current mailing address is 160 Grove St, Nevada City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225580723.
Healthcare Provider's Profile
| Full Name | Susan Fry Van Rheenen |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 138 New Mohawk Rd, Nevada City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225580723
- Provider Enumeration Date: 10/31/2016
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Susan Fry Van Rheenen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225580723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY33719 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Fry Van Rheenen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Fry Van Rheenen,
160 Grove St,
Nevada City, CA 95959-2602
Ph: () - | Susan Fry Van Rheenen,
138 New Mohawk Rd,
Nevada City, CA 95959-3244
Ph: (530) 478-0900 |
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