SUSAN BERRY


Address: 799 Hebron Ave, Second Floor, Glastonbury, CT 06033
Phone: 8606333006

SUSAN BERRY (NPI# 1205906542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205906542
Entity Type Individual
Full Name SUSAN BERRY
Credential PHD
Practice Address 799 Hebron Ave
Second Floor
Glastonbury
CT 06033
Practice Telephone 8606333006
Practice Fax Number 8606333328
Mailing Telephone 8606333006
Mailing Fax Number 8606333328
Enumeration Date 2006-11-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
009058 NY Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
001849 CT Behavioral Health & Social Service Providers

Other Providers SUSAN BERRY

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1528447794 Susan Berry Licensed Practical Nurse 1 Ohanlon Place, Barboursville, WV 25504 2015-05-21
1861416240 Susan Berry Nurse Practitioner 218 N Pine Street, Halfway, OR 97834 2006-07-27
1780196360 Susan Laura Berry Physical Therapy Assistant 202 Painter St, Galax, VA 24333-3830 2017-11-03
1225428691 Susan Anne Berry Massage Therapist 731 Gage Blvd, Richland, WA 99352-9701 2015-01-23
1457794265 Susan Jones Berry Pharmacist 5651 Holmes Ave Nw, Huntsville, AL 35816-1817 2013-04-10
1003139692 Susan Neely Berry Chiropractor 2470 Flowood Dr, Suite 125, Flowood, MS 39232-9019 2010-03-10
1992849707 Susan Berry Specialist/Technologist 1270 Kings Hwy, Lewes, DE 19958-1735 2007-02-16
1053479493 Susan Percita Berry Counselor 592 Rio Lindo Avenue, Chico, CA 95926 2006-12-05
1154429868 Susan M Berry Ophthalmology 11601 Toepperwein Rd, Live Oak, TX 78233-3147 2006-09-20
1205858941 Susan J Berry Pediatrics 200 Henry Clay Ave, New Orleans, LA 70118-5720 2006-07-24

Office Location

Street Address 799 HEBRON AVE
SECOND FLOOR
City GLASTONBURY
State CT
Zip Code 06033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548677149 Matthew Cross Audiologist 799 Hebron Ave, Glastonbury, CT 06033-2451 2014-07-15
1194030478 Megan Marie Blanchette Audiologist 799 Hebron Ave, Glastonbury, CT 06033-2451 2010-08-11
1982890125 The Hearing Center of Glastonbury Hearing Aid Equipment 799 Hebron Ave, Glastonbury, CT 06033-2451 2007-09-21
1669532610 Anne Riordan Kessler Audiologist 799 Hebron Ave, Glastonbury, CT 06033-2451 2006-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477074649 Starling Physicians, PC Durable Medical Equipment & Medical Supplies 289 Western Blvd, Glastonbury, CT 06033 2017-06-28
1497284897 D&l Eyecare Optometrist 33 Welles Street, Glastonbury, CT 06033 2017-06-08
1730626235 Half Full Psychiatry LLC Clinic/Center 39 New London Tpke Ste 230f, Glastonbury, CT 06033 2017-01-23
1285000117 Olga A Levkina Physician Assistant 2928 Main St Ste 101, Glastonbury, CT 06033 2015-08-14
1619350576 Ryan Ilg Reichelt Dentist 131 New London Tpke Ste 211, Glastonbury, CT 06033 2015-07-09
1316320534 Devon Banda Orthopaedic Surgery The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 2015-07-07
1881073195 Brittney Stanley Counselor 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 2015-05-20
1780071878 Richard T. Risinger Dentist 88 Citizens Drive, Glastonbury, CT 06033 2015-04-16
1639568751 Carol Jane Gammell Counselor 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 2015-01-13
1407262611 Prashant Sinha Dentist 2874 Main Street, Glastonbury, CT 06033 2014-07-08
Find all providers in zip 06033

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215496542 New Horizon Counseling LLC Psychologist 148 Eastern Blvd Ste 306, Glastonbury, CT 06033-4321 2019-03-16
1205304805 Michael J Reiss Psyd LLC Psychologist 200a Oak St, Glastonbury, CT 06033-2320 2018-11-13
1558750273 Smith Eddie Kidkarndee Psychologist 2389 Main St Ste 202, Glastonbury, CT 06033-4617 2015-01-19
1043520372 Alana Marie Embriano Psychologist 200c Oak Street, Glastonbury, CT 06033 2010-10-20
1447579982 Kathie H. Moffitt Psychologist 300 Hebron Ave Ste 201, Glastonbury, CT 06033-2176 2010-05-24
1972701522 Erica Lauren Janson Psychologist 931 Main Street Suite 2, Glastonbury, CT 06073 2007-07-05
1174735567 Polyxeni Kyriakopoulos-cunningham Psychologist 33 Pratt St, Glastonbury, CT 06033-1014 2007-05-06
1629299946 Gail P Comey Psychologist 11 Knob Hill Rd, Glastonbury, CT 06033-3708 2007-05-02
1073739652 James William Loomis Psychologist 8 Twelve Acre Ln, Glastonbury, CT 06033-1215 2007-04-18
1871716548 Elaine Linda Ducharme Psychologist 17 Parker Terrace Ext, Glastonbury, CT 06033-2012 2007-04-11
Find all providers in GLASTONBURY

Competitor

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City GLASTONBURY
Zip Code 06033

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Dataset Information

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.

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