Look up the most recent NPI and PECOS records

Susan Brooke Garner

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Brooke Garner does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1487819108
Provider Type
Individual
Full Name
Garner, Susan Brooke
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/22/2008
Last Updated
11/25/2008

Contact Information

Practice Location

5610 Snake Rd, Oakland, CA 94611-2910

(510) 466-5669

Unlisted Fax

Mailing Location

5610 Snake Rd, Oakland, CA 94611-2910

(510) 466-5669

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License MFC 33442 California

Provider Identifiers

ID	Description	Issuer
ID 17440000X	Description Other	Issuer SOLE PROPRIETOR California

Susan Brooke Garner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Spradlin, Suzy Joan

Ghannam, Anoulla

Brochard, Victor Albert

Brown, Sheldon Charles

Searcy, Gay

Rankin, Kenneth Ned

Gross, Julie Anne

Kazantsev, George B.

Morgan, Anna C.

Dixon, Matthew R.