SUSAN BERRY (NPI# 1205906542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
799 HEBRON AVE SECOND FLOOR |
City | GLASTONBURY |
State | CT |
Zip Code | 06033 |
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 |
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 Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
City | GLASTONBURY |
Zip Code | 06033 |
Please comment or provide details below to improve the information on SUSAN BERRY.
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.