Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agnes Susabda, PHD

Individual provider Clinical Psychologist · NPI 1750620373

Agnes Susabda, PHD is a Clinical Psychologist in Pleasanton, California. Graduated from Texas a & M University System, Hsc, College of Medicine in 2009, 17 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3825 Hopyard Rd
Pleasanton, CA 94588-8528
Phone: (925) 847-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY24015 (CA)

Record details

NPI number1750620373
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 1, 2013
Last updated in NPPESJanuary 3, 2022
Mailing address3825 Hopyard Rd, Pleasanton, CA 94588-8528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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