DR. SUSANNE CARROLL DUFFY (NPI# 1275790966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275790966 |
| Entity Type | Individual |
| Full Name | DR. SUSANNE CARROLL DUFFY |
| Credential | PSYD |
| Practice Address |
11 Back Road Perry ME 04667 |
| Mailing Address |
Po Box 351 Perry ME 04667-0351 |
| Practice Telephone | 2078530644 |
| Practice Fax Number | 2078532347 |
| Mailing Telephone | 2078530644 |
| Mailing Fax Number | 2078536230 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS945 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 292150099 | 05 |
| Street Address |
11 BACK ROAD |
| City | PERRY |
| State | ME |
| Zip Code | 04667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902967060 | Passamaquoddy Tribal Council | Ambulance | 11 Back Road, Perry, ME 04667-0351 | 2006-12-13 |
| 1760649065 | Faith Cummings | Nurse's Aide | 11 Back Road, Perry, ME 04667 | 2008-05-22 |
| 1447460860 | Cyrilla M Francis | Social Worker | 11 Back Road, Pleasant Point Health Center, Perry, ME 04667 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528277332 | Edward F. Harris | Dentist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-21 |
| 1285788539 | Batya Zamir-vanburen | Social Worker | 9 Gleason Cove Road, Perry, ME 04667 | 2007-01-23 |
| 1790994887 | Annie M Apt-brackett | Registered Nurse | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-22 |
| 1679782767 | Jack F. Martinez | Psychologist | Pleasant Point Health Center, 11 Back Road, Perry, ME 04667 | 2007-05-22 |
| 1457455842 | Michael Frederick Breckinridge | Pharmacist | Rt. 190, Back Rd., Perry, ME 04667-0001 | 2006-09-07 |
| 1184952285 | Perry Elementary School | Local Education Agency (LEA) | 1587 Us Route 1, Perry, ME 04667-3023 | 2009-12-01 |
| 1932740164 | Rhonda Bowen | Technician | 270 Cannon Hill Rd, Perry, ME 04667-3413 | 2019-09-29 |
| 1720271380 | Ronald S Rosenfeld | Internal Medicine | 281 Birch Point Rd, Perry, ME 04667-3425 | 2007-08-27 |
| 1598766404 | Donald Calebaugh | Internal Medicine | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2005-08-02 |
| 1386294809 | Terri Mumme | Nurse Practitioner | 11 Back Rd, Pleasant Point, ME 04667-4119 | 2019-09-17 |
| Find all providers in zip 04667 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258459 | Laurie Sprung | Psychologist | 1 Quartz Knob Rd, Cape Elizabeth, ME 04107-1653 | 2020-06-03 |
| 1275164303 | Salena King Caruso | Psychologist | 108 Main Rd S Ste A, Hampden, ME 04444-1204 | 2020-01-28 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1205390374 | The Lincoln Group, Pa | Psychologist | 167 Water St, Hallowell, ME 04347-1356 | 2019-01-23 |
| 1336614478 | Becket Academy Inc. | Psychologist | 10 Market Place Dr Unit 3, York, ME 03909-1680 | 2018-10-04 |
| 1033604814 | Joseph Richard Fitzpatrick | Psychologist | 88 Cumberland Rd, North Yarmouth, ME 04097-6544 | 2018-06-25 |
| 1003319583 | Robert Peddicord Phd Group | Psychologist | 200 Grove St, Bangor, ME 04401-4008 | 2018-03-12 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1962948695 | Rebecca Ann Schwartz Mette | Psychologist | University of Maine Psychological Services Ctr, 300 Corbett Hall, Orono, ME 04469-0001 | 2017-01-19 |
| Find all providers with the same taxonomy | ||||
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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.