KENNETH R. SUCKERMAN, PH.D., P.A. (NPI# 1669504171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669504171 |
| Entity Type | Organization |
| Organization Name | KENNETH R. SUCKERMAN, PH.D., P.A. |
| Other Organization Name | EAST BRUNSWICK PSYCHOLOGICAL ASSSOCIATES |
| Practice Address |
G9 Brier Hill Ct East Brunswick NJ 08816-3338 |
| Practice Telephone | 7322389400 |
| Mailing Telephone | 7322389400 |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2007-07-15 |
| Authorized Official Name | DR. KENNETH R. SUCKERMAN (PRESIDENT) |
| Authorized Official Telephone | 7322389400 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00138800 | NJ | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| East Brunswick Psychological Asssociates | Doing Business As Name - Organization |
| Street Address |
G9 BRIER HILL CT |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778639 | Maria D Wiener | Social Worker | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2006-05-18 |
| 1437270618 | Annamarie Resnikoff | Medical Genetics, Ph.D. Medical Genetics | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2007-04-03 |
| 1265589931 | Sara M. Fleischer-todd | Social Worker | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2007-01-04 |
| 1821155995 | Kenneth Robert Suckerman | Psychologist | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2007-01-02 |
| 1710062419 | Edward M Barrett | Psychologist | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1457837213 | Alexandra Caroline Mandel | Psychologist | Brier Hill Court, Building C Suite 202, East Brunswick, NJ 08816 | 2018-07-16 |
| 1467836593 | Michael Flancbaum | Psychologist | 2 Tower Center Blvd, Suite 1943, East Brunswick, NJ 08816-1100 | 2015-07-18 |
| 1285859629 | Eli Osman | Psychologist | 3 Cornwall Dr, East Brunswick, NJ 08816-3311 | 2007-04-13 |
| 1245352038 | Robin Greene | Psychologist | 606 Cranbury Rd, East Brunswick, NJ 08816-5422 | 2007-04-04 |
| 1699827741 | Associated Counseling Services LLC | Psychologist | 281 Summerhill Rd, Ste 209, East Brunswick, NJ 08816 | 2007-01-17 |
| 1679624001 | Elena Kazakina | Psychologist | 593 Cranbury Rd, East Brunswick, NJ 08816-4029 | 2007-01-13 |
| 1821155995 | Kenneth Robert Suckerman | Psychologist | G9 Brier Hill Ct, East Brunswick, NJ 08816-3338 | 2007-01-02 |
| 1720157886 | Jamie Solomon-charney | Psychologist | 577 Cranbury Rd, Suite C2, East Brunswick, NJ 08816-5403 | 2006-11-06 |
| 1467541268 | Nils Steven Pearson | Psychologist | 281 Summerhill Rd, East Brunswick, NJ 08816-4270 | 2006-10-12 |
| Find all providers in EAST BRUNSWICK | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
Please comment or provide details below to improve the information on KENNETH R. SUCKERMAN, PH.D., P.A..
| 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.