Healthcare Provider Details

I. General information

NPI: 1467560367
Provider Name (Legal Business Name): SUSAN TITUS C.N.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUSAN E TITUS C.N.S.

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23625 HOLMAN HWY
MONTEREY CA
93940-5902
US

IV. Provider business mailing address

P O BOX HH BUSINESS DEVELOPMENT & CONTRACTING
MONTEREY CA
93942
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-5311
  • Fax: 831-625-4948
Mailing address:
  • Phone: 831-622-2716
  • Fax: 831-625-4764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN336344
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN336344
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN336344
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN336344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: