MICHAEL SUSCO (NPI# 1285609131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285609131 |
| Entity Type | Individual |
| Full Name | MICHAEL SUSCO |
| Credential | M.D. |
| Practice Address |
1386 Hathaway Dr Suite A Farmington NY 14425-8973 |
| Mailing Address |
241 North Rd Poughkeepsie NY 12601-1154 |
| Practice Telephone | 5853964190 |
| Mailing Telephone | 8454318853 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
168413-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01361962 | 05 |
| Street Address |
1386 HATHAWAY DR SUITE A |
| City | FARMINGTON |
| State | NY |
| Zip Code | 14425-8973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922129261 | Brian L Mattiacio | Dentist | 1386 Hathaway Dr, Farmington, NY 14425-8973 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211827 | Laura Elizabeth Kilburg | Dietitian, Registered | 6371 Cedar Creek Way, Farmington, NY 14425 | 2020-09-24 |
| 1306215769 | Jenna Ratka | Specialist/Technologist | 5889 King Hill Dr, Farmington, NY 14425 | 2015-09-16 |
| 1922345255 | Alissa L Waughtel | Speech-Language Pathologist | 1578 Hayride Dr, Farmington, NY 14425 | 2013-01-07 |
| 1891964870 | Heather Patricia Munger | Licensed Practical Nurse | 5773 Limestone Lane, Farmington, NY 14425 | 2008-02-25 |
| 1306904834 | Richard R Bush | Dentist | 1484 State Route 332, Farmington, NY 14425 | 2006-12-05 |
| 1811072770 | Leonard Patrick Muscarella | Dentist | 1484 Rochester Rd. Rt. 332, Farmington, NY 14425 | 2006-10-26 |
| 1922111707 | John Michael Manfred | Internal Medicine | 1160 Corporate Dr, Farmington, NY 14425 | 2006-08-16 |
| 1811970445 | Edward H Davis | Optometrist | 6081 Rte 96 S, Farmington, NY 14425 | 2005-11-29 |
| 1114900651 | Eastview Vision Inc | Technician/Technologist | 6081 Route 96 S, Ste 8, Farmington, NY 14425 | 2005-11-29 |
| 1629131248 | Millers Pharmacy of Farmington | Pharmacy | 6181 Route 96, Farmington, NY 14425-1004 | 2006-12-18 |
| Find all providers in zip 14425 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1679950984 | Jafreen Ahmed | Psychiatry & Neurology | 263 Farmington Ave # Mc1410, Farmington, CT 06030-0002 | 2015-05-06 |
| 1568705978 | Phelan Elizabeth Maruca-sullivan | Psychiatry & Neurology | 10 Talcott Nothc, Farmington, CT 06032-0001 | 2013-04-03 |
| 1659647519 | Thomas J. Vanhoof | Psychiatry & Neurology | 14 Crestwood Cir, Farmington, CT 06032-1123 | 2012-03-26 |
| 1134312671 | David Matuskey | Psychiatry & Neurology | 10 Talcott Notch Rd Ste 3e, Farmington, CT 06032-1800 | 2007-08-18 |
| 1275639106 | John Sytsma | Psychiatry & Neurology | 144 High St, Farmington, ME 04938-1946 | 2006-09-16 |
| 1629084710 | Matthew J Gardiner | Psychiatry & Neurology | 808 Spring Pond Dr, Farmington, UT 84025-3853 | 2006-07-31 |
| 1457371049 | Sohrab Zahedi | Psychiatry & Neurology | 6 Forest Park Dr, Suite # 5, Farmington, CT 06032-1480 | 2006-07-19 |
| 1366474462 | Carole Black Cohen | Psychiatry & Neurology | 10 Forest Park Dr, Farmington, CT 06032-1499 | 2006-07-07 |
| 1386613354 | Glenn Konopaske | Psychiatry & Neurology | Uconn Health, Dept. of Psychiatry, 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-03-14 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 14425 |
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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.