MS. SUSAN A. BORITZ (NPI# 1639328974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639328974 |
| Entity Type | Individual |
| Full Name | MS. SUSAN A. BORITZ |
| Credential | M.A. |
| Practice Address |
111 Church Hill Rd Suite 305 Sandy Hook CT 06482-1172 |
| Mailing Address |
30 Still Hill Rd Sandy Hook CT 06482-1313 |
| Practice Telephone | 2039178585 |
| Practice Fax Number | 2038262211 |
| Mailing Telephone | 2032707936 |
| Mailing Fax Number | 2038262211 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2012-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000910 | CT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
001240 | CT | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 001240 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004257318 | 05 |
| Street Address |
111 CHURCH HILL RD SUITE 305 |
| City | SANDY HOOK |
| State | CT |
| Zip Code | 06482-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386913671 | Pathways Counseling, LLC | Marriage & Family Therapist | 111 Church Hill Rd, Suite 305, Sandy Hook, CT 06482-1172 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104483809 | Be Driven LLC | Non-emergency Medical Transport (VAN) | 30 Bradley Lane, Sandy Hook, CT 06482 | 2019-05-29 |
| 1639203821 | Laura Vicky Crouse | Naturopath | 24 Glen Road, Sandy Hook, CT 06482 | 2007-03-16 |
| 1023145745 | John Philip Woodall | Psychiatry & Neurology | 13 Berkshire Rd, Sandy Hook, CT 06482 | 2007-02-28 |
| 1073692950 | Jennifer L Thompson | Social Worker | 15 Berkshire Road, Suite B, Sandy Hook, CT 06482 | 2006-11-03 |
| 1205910833 | Susan Morse | Social Worker | 1 Washington Ave, Ste 4, Sandy Hook, CT 06482 | 2006-10-24 |
| 1114015211 | Newtown Youth and Family Services, Inc. | Clinic/Center | 15 Berkshire Rd., Newtown Youth and Family Services, Sandy Hook, CT 06482 | 2006-10-11 |
| 1073570842 | Kenneth A Litwin | Internal Medicine | 27 Glen Rd, 4th Floor, Sandy Hook, CT 06482 | 2006-04-27 |
| 1225019482 | Sabrina Lyn Byrne | Specialist/Technologist | 12 Bershire Rd, Sandy Hook, CT 06482 | 2005-11-07 |
| 1306350228 | Jgb Professional Counseling, LLC | Counselor | 107 Church Hill Rd Ste 1, Sandy Hook, CT 06482 | 2017-11-30 |
| 1104358738 | Joseph Benner | Counselor | 107 Church Hill Rd Ste 1, Sandy Hook, CT 06482 | 2017-04-02 |
| Find all providers in zip 06482 | ||||
| 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 |
|---|---|---|---|---|
| 1821445651 | Valerie Le Cann Jones | Marriage & Family Therapist | 40 Bradley Ln, Sandy Hook, CT 06482-1621 | 2016-05-23 |
| 1871732107 | Monica Kim Roberts | Marriage & Family Therapist | 1 Riverside Rd, Sandy Hook, CT 06482-1281 | 2009-02-10 |
| 1528537735 | Theresa M Ullrich | Marriage & Family Therapist | 13 Berkshire Rd, Sandy Hook, CT 06482-1361 | 2018-11-16 |
| 1821463829 | Western Connecticut Center for Neurofeedback and Counseling, LLC | Marriage & Family Therapist | 13 Berkshire Rd, Unit 1, Sandy Hook, CT 06482-1361 | 2015-12-02 |
| 1780073049 | Jill L. Badyrka | Marriage & Family Therapist | 15 Berkshire Rd, Sandy Hook, CT 06482-1361 | 2015-01-09 |
| 1679988760 | Cynthia Hould | Marriage & Family Therapist | 107 Church Hill Rd, Suite #1, Sandy Hook, CT 06482-1194 | 2014-06-26 |
| 1932537297 | The Neurovation Center, LLC | Marriage & Family Therapist | 13 Berkshire Rd, Unit 1, Sandy Hook, CT 06482-1361 | 2013-10-24 |
| 1386913671 | Pathways Counseling, LLC | Marriage & Family Therapist | 111 Church Hill Rd, Suite 305, Sandy Hook, CT 06482-1172 | 2011-12-15 |
| 1003018185 | Jill Pluta | Marriage & Family Therapist | 15 Berkshire Rd, Sandy Hook, CT 06482-1361 | 2007-06-01 |
| 1770698243 | Kathryn R. Krecker | Marriage & Family Therapist | 24 Glen Rd, Sandy Hook, CT 06482-1124 | 2006-08-21 |
| Find all providers in SANDY HOOK | ||||
| City | SANDY HOOK |
| Zip Code | 06482 |
Please comment or provide details below to improve the information on MS. SUSAN A. BORITZ.
| 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.