DR. SUZANNE MARIE BRENNAN (NPI# 1104223155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104223155 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE MARIE BRENNAN |
| Credential | PHD RN |
| Practice Address |
2130 Pine St Philadelphia PA 19103-6535 |
| Practice Telephone | 2157311707 |
| Mailing Telephone | 2157311707 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN-255881-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629038922 | Suzanne Lorenz Brennan | Psychologist | 1007 Wells St, South Haven, MI 49090-9612 | 2006-03-23 |
| 1538499751 | Suzanne Elaine Brennan | Specialist | 3900 Windsor Hall Dr, F235, Williamsburg, VA 23188-2875 | 2010-01-11 |
| Street Address |
2130 PINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-6535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475305 | B Janet Hibbs | Psychologist | 2130 Pine St, Philadelphia, PA 19103-6535 | 2005-08-30 |
| 1194911347 | B Janet Hibbs Phd PC | Psychologist | 2130 Pine St, Philadelphia, PA 19103-6535 | 2007-09-21 |
| 1467575613 | Alice Trisdorfer | Psychologist | 2130 Pine St, Philadelphia, PA 19103-6535 | 2007-04-10 |
| 1316983380 | Andrea L Bloomgarden | Psychologist | 2130 Pine St, Philadelphia, PA 19103-6535 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| 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 |
|---|---|---|---|---|
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
| 1437763174 | Maisy Hughes | Marriage & Family Therapist | 828 N Stillman St, Philadelphia, PA 19130-1836 | 2020-09-01 |
| 1952912594 | Amy L Crichton | Marriage & Family Therapist | 979 N Marshall St Unit 2, Philadelphia, PA 19123-1306 | 2020-08-16 |
| 1710596549 | Kellie Smith | Marriage & Family Therapist | 7552 Frankford Ave, Philadelphia, PA 19136-3534 | 2020-07-28 |
| 1982221123 | Margaret Claire Fromuth | Marriage & Family Therapist | 233 S 6th St Ste 3763, Philadelphia, PA 19106-3749 | 2020-07-04 |
| 1467077941 | Eileen Pitt | Marriage & Family Therapist | 2127 Homer St, Philadelphia, PA 19138-1935 | 2020-06-10 |
| 1154957686 | Akilah Pierre | Marriage & Family Therapist | 5049 Copley Rd, Philadelphia, PA 19144-4802 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.