MR. CRAIG SUSSMAN (NPI# 1154591030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154591030 |
| Entity Type | Individual |
| Full Name | MR. CRAIG SUSSMAN |
| Credential | FNP-C,PMHNP |
| Practice Address |
111 Old Road To Nine Acre Corner Concord MA 01742-4141 |
| Practice Telephone | 9783691113 |
| Practice Fax Number | 9783690908 |
| Mailing Telephone | 9783691113 |
| Mailing Fax Number | 9783690908 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN238050 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 238050 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326100736 | Craig Bradley Sussman | Pediatrics | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2006-12-14 |
| 1417049834 | Craig R Sussman | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2350 | 2006-09-30 |
| Street Address |
111 OLD ROAD TO NINE ACRE CORNER |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306906417 | Steve Arvin | Nurse Practitioner | 100 Hall St, Concord, NH 03301-3408 | 2006-12-11 |
| 1144380940 | Holli Marie Hoffman | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520 | 2006-12-11 |
| 1225003908 | Patricia A Orzano | Nurse Practitioner | 278 Pleasant Street, Riverbend Counseling Associates, Concord, NH 03301 | 2006-02-17 |
| 1437132941 | Nancy Clark | Nurse Practitioner | 40 Pleasant St, Concord, NH 03301-4006 | 2005-11-29 |
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1063013423 | Timothy Bailey | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-11-03 |
| 1447868617 | Meghan Dumas Farley | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-07-14 |
| 1073145199 | Ry K Billadeau | Nurse Practitioner | 33 Warren St, Concord, NH 03301-4049 | 2020-02-06 |
| 1073158101 | David Jihun Choi | Nurse Practitioner | 281 N State St, Concord, NH 03301-3227 | 2019-11-13 |
| 1952969008 | Ifeatu B Enemmuo | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 | 2019-06-04 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.