DR. SUSAN J. PERRY (NPI# 1841283207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841283207 |
| Entity Type | Individual |
| Full Name | DR. SUSAN J. PERRY |
| Credential | PH.D.,CDC |
| Practice Address |
620 Coronado Ave Espanola NM 87532-2725 |
| Mailing Address |
111 N Railroad Ave P.o. Box 158 Espanola NM 87532-2627 |
| Practice Telephone | 5057537395 |
| Practice Fax Number | 5057538373 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2874 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 73812 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356724 | Susan Jane Perry | Nurse Practitioner | 469 Centerville Rd., Suite 103, Warwick, RI 02886-4342 | 2012-08-27 |
| 1710036058 | Susan Lee Perry | Counselor | 5934 S Staples, Suite 206, Corpus Christi, TX 78413 | 2007-01-09 |
| 1972601854 | Susan C Perry | Licensed Practical Nurse | 18249 Matthews St, Riverview, MI 48193-7481 | 2006-09-21 |
| 1780786038 | Susan J Perry | Nurse Practitioner | 373 New Boston Road, Fall River, MA 02720-5814 | 2006-09-05 |
| 1841249315 | Susan Perry | Pharmacist | 9252 San Jose Blvd, Ste 3304, Jacksonville, FL 32257-9225 | 2006-05-10 |
| 1104802958 | Susan Ann Perry | Occupational Therapist | Klaras Children's Center Eci, 110 S. 12th Street, Waco, TX 76703-0890 | 2005-12-22 |
| 1073133039 | Susan Perry | Social Worker | 1181 Weaver Dairy Rd Ste 210, Chapel Hill, NC 27514-1870 | 2020-04-20 |
| 1447508841 | Susan Burdick Perry | Marriage & Family Therapist | 6305 Woodman Ave, Van Nuys, CA 91401-2346 | 2012-08-16 |
| 1336496652 | Susan Perry | Speech-Language Pathologist | 118 College Dr # 5215, Hattiesburg, MS 39406-0002 | 2012-08-06 |
| 1215296447 | Susan Richael Perry | Respiratory Therapist, Registered | 2364 Drew St, Clearwater, FL 33765-3310 | 2012-05-08 |
| Street Address |
620 CORONADO AVE |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1083189096 | Emily J Everhart | Counselor | 835 Spruce St Ste Candd, Espanola, NM 87532-3455 | 2018-10-05 |
| 1588178198 | Nicole Lynne Ortiz | Counselor | 835 Spruce St Ste D, Espanola, NM 87532-3455 | 2017-11-20 |
| 1043731342 | Christine Miller | Counselor | 810 N Paseo De Onate, Espanola, NM 87532-2613 | 2017-06-28 |
| 1134452915 | Joyce Joann Viarrial | Counselor | 1102 A. Paseo De Onate, Espanola, NM 87532 | 2009-09-11 |
| 1962686873 | Janice Fron | Counselor | 907 W. Bond, Espanola, NM 87532 | 2007-12-27 |
| 1891980603 | Nancy Viola Dominguez | Counselor | 907 West Bond Street, Espanola, NM 87532 | 2007-09-14 |
| 1154477404 | Michael Wayne Wallington | Counselor | 904 E Fairview Ln # B, Espanola, NM 87532-2822 | 2007-01-26 |
| 1780773895 | Loretta Bifulco | Counselor | 904 Fairview Dr., Suite A, Espanola, NM 87532 | 2006-10-12 |
| 1730278854 | Wayne Favreau | Counselor | 1302 Calle De La Merced, Espanola, NM 87532-2624 | 2006-10-12 |
| Find all providers in ESPANOLA | ||||
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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.