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Deactivated NPI 1851704142 Deactivated / Inactive NPI Female Practitioner

Lynnette Suarez

Psychologist - Forensic • San Bruno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lynnette Suarez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2014
NPI Deactivation Date September 14, 2015
Total Practice Duration ~1 Years of Practice (2014 – 2015)

Professional Overview & Biography Verified Profile Summary

Lynnette Suarez was a registered Psychologist - Forensic practicing in San Bruno, CA. Throughout an active medical career spanning 1 years, Lynnette Suarez provided care at the practice location at 789 EASTON AVE until profile deactivation on 2015-09-14.

Practice Location & Contact Primary Location

Practice Address

789 Easton Ave
2

San Bruno, CA 940663563

Telephone 6509225433

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in San Bruno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
1 Specialists

Practicing in San Bruno, CA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-06
Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
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Updated Practice Location May 06, 2021

Registered at 789 EASTON AVE, 2, SAN BRUNO, CA 940663563 (Tel: 6509225433)

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Updated Business Mailing Address May 06, 2021

Registered at PO BOX 381, LAVEEN, AZ 85339

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Provider Name / Credentials Updated May 06, 2021

Recorded as LYNNETTE SUAREZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Psychologist

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NPI Profile Deactivated September 14, 2015

Record deactivated on September 14, 2015

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Initial NPI Registration & Enumeration June 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851704142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2014
Last Update: May 06, 2021
Deactivation Date: September 14, 2015
Sole Proprietor: No

Mailing Address

Po Box 381

Laveen, AZ 85339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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