MRS. SUSAN PETHO I (NPI# 1962709089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962709089 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN PETHO I |
| Credential | LMFT |
| Practice Address |
352 State St North Haven CT 06473-3108 |
| Mailing Address |
1 Long Wharf Dr Ste 321 New Haven CT 06511-5991 |
| Practice Telephone | 2037814695 |
| Practice Fax Number | 2037814700 |
| Mailing Telephone | 2037814600 |
| Mailing Fax Number | 2037814624 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001036 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008022626 | 05 | |
| CT | 500000315 | 05 | |
| CT | 008038049 | 05 | |
| CT | 004082286 | 05 |
| Street Address |
352 STATE ST |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1972079077 | Kevin Murray | Counselor | 352 State St, North Haven, CT 06473-3108 | 2018-10-17 |
| 1477061976 | Richard Downey | Counselor | 352 State St, North Haven, CT 06473-3108 | 2018-01-18 |
| 1922515196 | Deanna Bonaventura | Counselor | 352 State St, North Haven, CT 06473-3108 | 2018-01-09 |
| 1669981940 | Meredith Barone | Counselor | 352 State St, North Haven, CT 06473-3108 | 2017-09-29 |
| 1619331691 | Andrea Gareri | Counselor | 352 State St, North Haven, CT 06473-3108 | 2016-04-06 |
| 1891170353 | Elizabeth Vollono | Counselor | 352 State St, North Haven, CT 06473-3108 | 2015-07-27 |
| 1396149597 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2014-10-16 |
| 1174947444 | Mary Bieluczyk | Licensed Practical Nurse | 352 State St, North Haven, CT 06473-3108 | 2014-02-07 |
| 1023431061 | Nichole Barnes | Licensed Practical Nurse | 352 State St, North Haven, CT 06473-3108 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861707820 | Deborah A Kornitsky Pausig | Marriage & Family Therapist | 5 Roger Ave, North Haven, CT 06473-1928 | 2010-08-16 |
| 1780909945 | Michelle Jean Piccerillo | Marriage & Family Therapist | 221 Borrelli Rd, North Haven, CT 06473-4115 | 2010-03-31 |
| 1952595902 | Melinda Elizabeth Pritz | Marriage & Family Therapist | 83 Bradley St, North Haven, CT 06473-1413 | 2007-09-04 |
| 1255549721 | Linda A. Zunda | Marriage & Family Therapist | 72 Upper State St, North Haven, CT 06473-1232 | 2007-05-18 |
| 1083237614 | Heather Lavallee | Marriage & Family Therapist | 130 Washington Ave, North Haven, CT 06473-1709 | 2020-05-18 |
| 1548898802 | Center for Healing Connections LLC | Marriage & Family Therapist | 130 Washington Ave, North Haven, CT 06473-1709 | 2020-03-31 |
| 1609334598 | Resilience Counseling, LLC | Marriage & Family Therapist | 410 State St Rm 2, North Haven, CT 06473-3149 | 2019-03-09 |
| 1215410956 | Healthy Relations Counseling, LLC | Marriage & Family Therapist | 605 Washington Ave, North Haven, CT 06473-1123 | 2018-09-10 |
| 1568957918 | Beauty From Ashes, Catholic Family Therapy, LLC | Marriage & Family Therapist | 5 Roger Ave, North Haven, CT 06473-1928 | 2018-06-28 |
| 1851714422 | Ilaria Filippi Lmft LLC | Marriage & Family Therapist | 410 State St, Suite 15, North Haven, CT 06473-3147 | 2014-02-01 |
| Find all providers in NORTH HAVEN | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
Please comment or provide details below to improve the information on MRS. SUSAN PETHO I.
| 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.