SUZANNE SUSTAITA (NPI# 1427579580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427579580 |
| Entity Type | Individual |
| Full Name | SUZANNE SUSTAITA |
| Credential | LPC |
| Practice Address |
7 Ledgebrook Dr Unit B Mansfield Center CT 06250-1664 |
| Mailing Address |
995 Day Hill Rd Windsor CT 06095-1722 |
| Practice Telephone | 8604560038 |
| Practice Fax Number | 8604568765 |
| Mailing Telephone | 8607315522 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003140 | Behavioral Health & Social Service Providers |
| Street Address |
7 LEDGEBROOK DR UNIT B |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033596499 | Elizabeth C Alve-hedegaard | Nurse Practitioner | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2015-05-05 |
| 1225515323 | Lynn Ann Paglione | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2018-07-23 |
| 1295222834 | Amanda Jones | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2018-04-19 |
| 1801304670 | Rina Villaneuva | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2018-01-16 |
| 1316459332 | Jennifer Girardi | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2017-10-31 |
| 1336668748 | Patrick Hnatow | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2017-09-18 |
| 1497276190 | Azra Omerbasic | Counselor | 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250-1664 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013554518 | Mary Kinsella-shaw LLC | Counselor | 31 Warrenville Rd, Mansfield Center, CT 06250-1260 | 2019-12-03 |
| 1619079399 | Kathy Medbery | Counselor | 50 Beech Mountain Rd, Mansfield Center, CT 06250-1603 | 2006-09-02 |
| 1720609118 | Crystal S Colon | Counselor | 7b Ledgebrook Dr, Mansfield Center, CT 06250-1664 | 2020-04-27 |
| 1952935496 | Debra Abbey | Counselor | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2020-02-24 |
| 1831732247 | Dionna Levy | Counselor | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2019-10-18 |
| 1043777949 | Elizabeth Peterson | Counselor | 7 Ledgebrook Dr, Mansfield Center, CT 06250-1664 | 2019-02-27 |
| 1518409192 | Ashley Burke | Counselor | 7 Ledgebrook Dr, Unit B, Mansfield Center, CT 06250-1664 | 2016-11-14 |
| 1437609757 | Andrew F.b. Campbell | Counselor | 10 Higgins Hwy, #11, Mansfield Center, CT 06250-1437 | 2016-10-11 |
| 1831530948 | Lara Skirvan | Counselor | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2013-07-17 |
| 1528409703 | Stephen Lussier | Counselor | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2013-07-16 |
| Find all providers in MANSFIELD CENTER | ||||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
Please comment or provide details below to improve the information on SUZANNE SUSTAITA.
| 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.