MR. JOEL M SUCKOW (NPI# 1639333727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639333727 |
| Entity Type | Individual |
| Full Name | MR. JOEL M SUCKOW |
| Credential | M.D. |
| Practice Address |
471 High St Se Ste 350 Salem OR 97301-3995 |
| Mailing Address |
875 Oak St Se Ste 3070 Salem OR 97301-3979 |
| Practice Telephone | 9718082854 |
| Practice Fax Number | 8882567959 |
| Mailing Telephone | 5035857454 |
| Mailing Fax Number | 8882567959 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD28195 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Sw G St, Grants Pass, OR 975262544 | 5414762373 |
| Street Address |
471 HIGH ST SE STE 350 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1801399522 | Forefront Telecare PC | Psychiatry & Neurology | 325 13th St Ne Ste 404, Salem, OR 97301-2203 | 2018-03-09 |
| 1235399866 | Varuna Joshi | Psychiatry & Neurology | 1970 Roanoke Blvd # 116a7, Salem, VA 24153-6404 | 2008-06-17 |
| 1215115894 | Beal Essink | Psychiatry & Neurology | 702 Church St Ne, Salem, OR 97301-2404 | 2008-02-05 |
| 1366625881 | Chandras Clinic PC | Psychiatry & Neurology | 1249 Fairview Avenue Se, Salem, OR 97302 | 2007-12-06 |
| 1376693275 | Satyanarayana Chandragiri | Psychiatry & Neurology | 1249 Fairview Ave Se, Salem, OR 97302-2534 | 2007-01-11 |
| 1386704161 | Richard Bingham | Psychiatry & Neurology | 528 Cottage St Ne Ste 1d, Salem, OR 97301-3863 | 2006-12-11 |
| 1811061708 | Salem Hospital | Psychiatry & Neurology | 2454 Abbey Way Se, Salem, OR 97301-9564 | 2006-11-20 |
| 1457424350 | Martha H Aaron | Psychiatry & Neurology | 4747 Skyline Rd S # 180, Salem, OR 97306-4200 | 2006-11-16 |
| 1124105960 | Stefan Zora | Psychiatry & Neurology | 20 Central St, Suite 106, Salem, MA 01970-3739 | 2006-11-01 |
| Find all providers in SALEM | ||||
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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.