DR. SUSAN A SORRENTINO (NPI# 1679605893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679605893 |
| Entity Type | Individual |
| Full Name | DR. SUSAN A SORRENTINO |
| Credential | PHD |
| Practice Address |
266 Essex St Unit #2 Salem MA 01940 |
| Mailing Address |
266 Essex St Unit #2 Salem MA 01945 |
| Practice Telephone | 9787419011 |
| Practice Fax Number | 9787418610 |
| Mailing Telephone | 9787419011 |
| Mailing Fax Number | 9787418610 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6294 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 062940 | 01 |
| MA | BLUE CROSS BLUE SHIELD MA | W05043 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313610 | Susan Carol Sorrentino | Registered Nurse | 1836 South Ave, La Crosse, WI 54601-5429 | 2018-04-10 |
| Street Address |
266 ESSEX ST UNIT #2 |
| City | SALEM |
| State | MA |
| Zip Code | 01940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982796298 | Charles P Sorrentino | Psychologist | 266 Essex St, Suite 2, Salem, MA 01970 | 2006-09-28 |
| 1912036062 | Catherine Mora Roberts | Psychologist | 266 Essex St, Salem, MA 01970-3431 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077030 | Lauren Chiarenza Lomonaco | Nurse Practitioner | Lahey Health Urgent Care, Lynnfield, 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2019-05-06 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 1922505072 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 1350 Market Street, 2nd Floor, Beth Israel Lahey Health Primary Care, Inc., Lynnfield, MA 01940 | 2018-04-06 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1356862080 | Sabine Jean-louis | Nurse Practitioner | 4 Michaels Rd, Lynnfield, MA 01940 | 2017-07-03 |
| 1750734026 | Margaret Maina | Counselor | 375 Broadway Spc 111, Lynnfield, MA 01940 | 2016-07-21 |
| 1528443603 | Elizabeth Ann Watson | Nurse Practitioner | 628 Salem Street, Lynnfield, MA 01940 | 2015-07-30 |
| 1093036691 | North Shore Smiles | Dentist | 1 Post Office Square, Lynnfield Medical, Lynnfield, MA 01940 | 2010-06-17 |
| 1942468707 | Nancy Jo Meehan | Social Worker | 55 Salem St, Lynnfield, MA 01940 | 2008-05-29 |
| 1154526382 | Richard A. Peinert, Md, PC | Specialist | Lynnfield Medical Building, Post Office Square, Lynnfield, MA 01940 | 2007-06-18 |
| Find all providers in zip 01940 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583408 | Kyleemillerphd | Psychologist | 586 Welcome Way Se, Salem, OR 97302-3932 | 2020-09-17 |
| 1275196016 | Brittany Evelyn St. Jean | Psychologist | 27 Meisner Rd, Salem, NH 03079-2707 | 2019-04-17 |
| 1689162323 | Joyce Ann Perrotta | Psychologist | 57 Federal St, Salem, MA 01970-3436 | 2018-04-27 |
| 1851888119 | Muriel Portugal Rivera | Psychologist | 7 Lyme St, Salem, MA 01970-4817 | 2018-04-21 |
| 1568839298 | Katherine Russell | Psychologist | 10 Federal Street, Suite 307, Salem, MA 01970-5402 | 2015-08-28 |
| 1962888388 | Carilyn Claire Ellis | Psychologist | 3857 Wolverine St Ne Ste 6, Salem, OR 97305-4274 | 2015-08-07 |
| 1528300399 | Cassandra Sieg | Psychologist | 454 17th St Ne, Salem, OR 97301-4223 | 2013-03-20 |
| 1821335613 | Key Rehabilitation,inc. | Psychologist | 35625 Highway 72, Salem, MO 65560-7217 | 2013-01-14 |
| 1700170818 | David Cory Brillhart | Psychologist | 189 Liberty St., Ne, Suite 210a, The Reed Opera House, Salem, OR 97301 | 2011-06-06 |
| 1659517431 | Gerald Mark Farber | Psychologist | 50 Freedom Holw Unit 218, Salem, MA 01970-6626 | 2008-12-26 |
| Find all providers in SALEM | ||||
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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.