Susan Lake, PSYD
NPI 1962784488 · Rehabilitation Counselor · San Rafael, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Lake, PSYD is a Rehabilitation Counselor provider in San Rafael, CA (NPI 1962784488).
Provider details
- NPI number
- 1962784488
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-10
- Last updated
- 2020-12-17
- Certified
- 2020-11-16
Frequently asked questions
- What is Susan Lake's NPI number?
- Susan Lake's National Provider Identifier (NPI) is 1962784488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Lake's specialty?
- Susan Lake is listed in the NPPES registry with a primary specialty of Rehabilitation Counselor (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Susan Lake located?
- Susan Lake's practice location on file with NPPES is 1330 Lincoln Ave Ste 201, San Rafael, CA 94901-2142.
- What is Susan Lake's phone number?
- The practice phone number listed in the NPPES registry for Susan Lake is (415) 459-5999.
- Does Susan Lake accept Medicare?
- Susan Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Lake's NPI active?
- Yes — Susan Lake's NPI (1962784488) is active in the NPPES registry as of the last update on 2020-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.