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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2521 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1859480 | 05 |
Street Address |
175 DWIGHT RD STE 303 |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730248014 | Michael F Ginsburg | Psychologist | 175 Dwight Rd Ste 303, Longmeadow, MA 01106-1761 | 2006-12-06 |
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 |
Find all providers in zip 01106 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
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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 |
Find all providers with the same taxonomy |
City | LONGMEADOW |
Zip Code | 01106 |
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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.