SUSAN CAROLE CORBETT (NPI# 1649427311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649427311 |
| Entity Type | Individual |
| Full Name | SUSAN CAROLE CORBETT |
| Credential | RN, CASAC, CACN |
| Practice Address |
17-19 Sussex Street Port Jervis NY 12771 |
| Practice Telephone | 8458566344 |
| Practice Fax Number | 8458564091 |
| Mailing Telephone | 8458566344 |
| Mailing Fax Number | 8458564091 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
327966-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336223510 | Susan Corbett | Social Worker | 2700 S Tamiami Trl, 11-a, Sarasota, FL 34239-4530 | 2006-10-25 |
| 1487841722 | Susan Corbett | Advanced Practice Midwife | 1204 W Main St, Charlottesville, VA 22908-7780 | 2007-10-01 |
| Street Address |
17-19 SUSSEX STREET |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1548567712 | Marie Jados Stanish | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2011-02-23 |
| 1255580056 | Catholic Charities Community Services of Orange County | Clinic/Center | 17-19 Sussex Street, Port Jervis, NY 12771 | 2008-09-17 |
| 1487801650 | Martin Irving Colavito | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771-2430 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| 1871680538 | Bhupinder S Gill | Psychiatry & Neurology | 206 New Ball St, Port Jervis, NY 12771 | 2006-10-06 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528363 | Ophelia Medical Group Ny, P.C. | Registered Nurse | 755 Park Ave Apt 4a, New York, NY 10021-4282 | 2020-08-11 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811533151 | Kay Lobo Cordes | Registered Nurse | 6501 E Inducon Drive, Sanborn, NY 14132 | 2019-11-21 |
| 1396393633 | Emmanuelle Sheridan | Registered Nurse | 102 Fountain Ave, Selden, NY 11784-1908 | 2019-08-29 |
| 1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
| 1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
| 1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
| 1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
| 1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
| 1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on SUSAN CAROLE CORBETT.
| 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.