MR. PAUL DAVID SHORE-SUSLOWITZ


Address: 175 Dwight Rd Ste 303, Longmeadow, MA 01106-1761
Phone: 4135679993

MR. PAUL DAVID SHORE-SUSLOWITZ (NPI# 1871652156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871652156
Entity Type Individual
Full Name MR. PAUL DAVID SHORE-SUSLOWITZ
Credential ED.D.
Practice Address 175 Dwight Rd Ste 303
Longmeadow
MA 01106-1761
Practice Telephone 4135679993
Practice Fax Number 4135679993
Mailing Telephone 4135679993
Mailing Fax Number 4135679993
Enumeration Date 2006-12-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2521 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1859480 05

Office Location

Street Address 175 DWIGHT RD STE 303
City LONGMEADOW
State MA
Zip Code 01106-1761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730248014 Michael F Ginsburg Psychologist 175 Dwight Rd Ste 303, Longmeadow, MA 01106-1761 2006-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831797646 Paula Arrigg Counselor 175 Dwight Road, Longmeadow, MA 01106 2020-10-14
1003429010 Optimal Therapy Solutions, LLC Clinic/Center 127 Bel Air Drive, Longmeadow, MA 01106 2020-08-28
1164840666 Erin Feller Pediatrics 123 Dwight Rd., Longmeadwod, MA 01106 2014-04-01
1255611299 Christina Rose Lalime Community Health Worker 206 Bel Air Dive, Longmeadow, MA 01106 2011-08-22
1851503742 Andrew M. Oxman Counselor 1200 Converse Street, Longmeadow, MA 01106 2007-05-04
1093833048 Lilly Gaev Social Worker Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 2007-03-27
1093840530 Julie A Cox Psychologist 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 2007-02-23
1932252897 Karen Elizabeth Marsian Podiatrist 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 2007-01-22
1386700227 Visions of Longmeadow Eyewear Supplier (Equipment, not the service) 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 2006-12-28
1437226701 Richard T. Longo Psychologist 167 Dwight Road, Suite #104, Longmeadow, MA 01106 2006-11-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093840530 Julie A Cox Psychologist 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 2007-02-23
1336202506 Anthony Edwin Wolf Psychologist 813 Williams Street, Longmeadow, MA 01116 2006-12-19
1366514671 Leslie Matlen Psychologist 568 Pinewood Dr, Longmeadow, MA 01106-1665 2006-11-14
1962559880 Karen Constance Haeberle Psychologist 167 Dwight Rd, Suite 104, Longmeadow, MA 01106-1752 2007-01-04
1356417653 Eugenia Silva Psychologist 175 Dwight Rd, Suite 303, Longmeadow, MA 01106-1761 2006-11-28
1316048549 Patricia Peters Martin Psychologist 1200 Converse St, Suite 202, Longmeadow, MA 01106-1760 2006-09-26
1184720047 Jody Helmus Psychologist 1200 Converse St, Suite 202, Longmeadow, MA 01106-1760 2006-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962000703 Jonathan Inz Phd LLC Psychologist 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 2020-10-14
1114524337 T Psychological Services Professional LLC Psychologist 305 Avalon Dr, Bedford, MA 01730-2067 2020-10-01
1235746934 Alexandra R Nelson Phd Psychologist 46 Gerald Rd, Milton, MA 02186-4769 2020-09-26
1396359154 Theresa Mary Brasier Psychologist 25 Birch St Ste A, Milford, MA 01757-3585 2020-08-31
1154934685 David S Sugarbaker Psychologist 1015 Brook Rd, Milton, MA 02186-4114 2020-08-25
1114537131 Annemarie Baldauf, Psyd, Pllc Psychologist 49 Hancock St Ste 104, Cambridge, MA 02139-3188 2020-08-04
1801406103 Barbara Kellogg Gannon Psychologist 30 Western Ave Ste 209, Gloucester, MA 01930-3664 2020-08-03
1992314330 Deborah Cohen Psychologist 25 State St Fl 26, Boston, MA 02109-2700 2020-07-30
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1487271664 Thoughtful Psychiatry, P.C. Psychologist 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 2020-07-03
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Competitor

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City LONGMEADOW
Zip Code 01106

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Dataset Information

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.

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