SUSAN KUDRAK (NPI# 1336790211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336790211 |
Entity Type | Individual |
Full Name | SUSAN KUDRAK |
Practice Address |
35 Judd Ave Bethel CT 06801-1538 |
Practice Telephone | 2037339103 |
Practice Fax Number | 2037440801 |
Mailing Telephone | 2037339103 |
Mailing Fax Number | 2037440801 |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
000637 | CT | Behavioral Health & Social Service Providers |
Street Address |
35 JUDD AVE |
City | BETHEL |
State | CT |
Zip Code | 06801-1538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
Find all providers in zip 06801 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902438666 | Rachel Lebetkin | Counselor | 47 Bethpage Dr, Bethel, CT 06801-2303 | 2020-02-10 |
1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
1134557689 | Carol Reilly Lcc | Counselor | 101 Chestnut St Apt H, Bethel, CT 06801-2660 | 2013-10-19 |
1013129253 | Terry Lynn Tuttle | Counselor | 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-05-03 |
1023120722 | Mary Elizabeth Mcdonald | Counselor | 5016 Noel Polty Blvd., Bethel, AK 99559-1029 | 2006-08-31 |
1679542484 | Peter Robert Hergenroether | Counselor | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2006-03-15 |
1750370433 | Christopher S. Byrnes | Counselor | 833 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2005-10-17 |
1235620154 | Samantha Bachman LLC | Counselor | 14 Depot Pl Fl 1, Bethel, CT 06801-2540 | 2018-05-25 |
1346731262 | Samantha Bachman | Counselor | 14 Depot Pl Fl 1, Bethel, CT 06801-2540 | 2018-05-25 |
1346788080 | Janet Lighthill | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2017-02-02 |
Find all providers in BETHEL |
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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.