DR. DAVID JOSEPH SUSCOVICH (NPI# 1467476192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467476192 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOSEPH SUSCOVICH |
| Credential | LMFT |
| Practice Address |
984 Southford Rd Middlebury CT 06762-3234 |
| Practice Telephone | 2037582400 |
| Practice Fax Number | 2037582415 |
| Mailing Telephone | 2037582400 |
| Mailing Fax Number | 2037582415 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
CTOOO230 | CT | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 000230 | CT | Behavioral Health & Social Service Providers |
| Street Address |
984 SOUTHFORD RD |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740686724 | Caitlin J.c. Mcavoy | Social Worker | 984 Southford Rd, Middlebury, CT 06762-3234 | 2014-11-18 |
| 1386050656 | Erika L Szarzynski | Social Worker | 984 Southford Rd, Middlebury, CT 06762-3234 | 2014-07-08 |
| 1093047953 | Emily Grace Fritz | Social Worker | 984 Southford Rd, Middlebury, CT 06762-3234 | 2010-02-03 |
| 1679734222 | Evette Corujo-aird | Counselor | 984 Southford Rd, Middlebury, CT 06762-3234 | 2008-06-17 |
| 1578788766 | Behavioral Health Center for Counseling & Learning, LLC | Psychiatry & Neurology | 984 Southford Rd, Middlebury, CT 06762-3234 | 2007-04-15 |
| 1770608010 | T Lynn Krawczyk | Marriage & Family Therapist | 984 Southford Rd, Middlebury, CT 06762-3234 | 2007-03-19 |
| 1073637047 | Cynthia Anne Lipeika | Marriage & Family Therapist | 984 Southford Rd, Middlebury, CT 06762-3234 | 2007-03-16 |
| 1043345408 | Jessica Buck | Counselor | 984 Southford Rd, Middlebury, CT 06762-3234 | 2007-02-23 |
| 1184775769 | Michelle L Andrews | Social Worker | 984 Southford Rd, Middlebury, CT 06762-3234 | 2007-01-12 |
| 1215941364 | Noel Federle Federle | Counselor | 984 Southford Rd, Middlebury, CT 06762-3234 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1861559106 | Alyce V. Tedesco | Counselor | 588 Charcoal Ave, Middlebury, CT 06762-1407 | 2007-01-03 |
| 1366043879 | Sandra J Hodgman | Counselor | 67 Catamount Park, Middlebury, VT 05753-1397 | 2020-11-03 |
| 1366053019 | Lesley L Dunakin | Counselor | 67 Catamount Park, Middlebury, VT 05753-1397 | 2020-08-14 |
| 1023653144 | Joseph W Prather | Counselor | 67 Catamount Park, Middlebury, VT 05753-1397 | 2019-11-13 |
| 1578125696 | Hope Martin, Lcmhc, Pllc | Counselor | 135 S Pleasant St, Middlebury, VT 05753-4456 | 2019-06-29 |
| 1689136970 | Kelly Moriarty | Counselor | 211 Maple St, Middlebury, VT 05753-1592 | 2019-04-04 |
| 1396219952 | Zelda G Alpern | Counselor | 89 Main St, Middlebury, VT 05753-1483 | 2019-01-17 |
| 1154893337 | Amy K Arruda | Counselor | 2030 Straits Tpke, Middlebury, CT 06762-1831 | 2018-12-28 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
Please comment or provide details below to improve the information on DR. DAVID JOSEPH SUSCOVICH.
| 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.