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Justin Wally Sudduth

Case Manager/Care Coordinator β€’ Eureka, CA

Active NPI 1467726992 Individual Practitioner Male Practitioner
Practice location in NPPES

720 Wood St
Eureka, CA 955014413

Call 7072682990 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

720 Wood St

Eureka, CA 955014413

Telephone 7072682990
Organization at the Same NPPES Address or Phone
County Of Humboldt Facility NPI 1194763219

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chico, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eureka and California

492 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Eureka, CA (22,844 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eureka

0% of these 492 clinicians have the CMS telehealth indicator.

0% of these 492 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-28
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

592 Rio Lindo Ave

Chico, CA 959261817

Phone: 5308912775

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Julienne Aulwes , MD

Psychiatry & Neurology - Psychiatry

NPI 1114123213

Doctor of Medicine (M.D.)

Joseph Bullock , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1982117487

Registered Nurse

Dr. Paula Edwalds , MD

Psychiatry & Neurology - Psychiatry

NPI 1093869661

Doctor of Medicine (M.D.)

Anna Garcia

Psychiatry & Neurology - Psychiatry

NPI 1851824312
Lorenzo Hatten , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528497328

Psychiatric-Mental Health Nurse Practitioner

Caroline Haug , RN, MSN, PHN

Registered Nurse - Psychiatric/Mental Health

NPI 1770611246

Registered Nurse, Master of Science in Nursing, PHN

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 18, 2021

Registered at 720 WOOD ST, EUREKA, CA 955014413 (Tel: 7072682990)

βœ…
NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 01, 2012

Registered at 592 RIO LINDO AVE, CHICO, CA 959261817 (Tel: 5308912775)

πŸ“
Business Mailing Address (Initial Record) March 01, 2012

Registered at 592 RIO LINDO AVE, CHICO, CA 959261817 (Tel: 5308912775)

πŸ‘€
Provider Name / Credentials (Initial Record) March 01, 2012

Recorded as JUSTIN SUDDUTH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Counselor

🟒
Initial NPI Registration & Enumeration March 01, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467726992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2012
Last Update: May 18, 2021
Sole Proprietor: Yes

Mailing Address

592 Rio Lindo Ave

Chico, CA 959261817

Phone: 5308912775

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.