Suzanne Ciaramella, PSYD
Individual provider Active NPI Clinical Psychologist · Mansfield Center, CT
NPI 1154476778 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154476778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 002467 (CT)
- Practice address
- 6 Storrs Rd
Suite #3
Mansfield Center, CT 06250 - Phone
- (860) 423-6572
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002467 | CT | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002467 | CT | Yes |
Addresses
Primary practice location
6 Storrs Rd
Suite #3
Mansfield Center, CT 06250
Mailing address
67 Scotland Rd
Windham, CT 06280-1219
Phone (860) 916-4253
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060002467CT01 | Other | CT | ANTHEM BCBS |
| 345897 | Other | CT | MHN |
Other providers in Mansfield Center, CT
- Aimee R Cegielski
- Ignacio Cerdena
- Sonia Childress
- Rebecca Chiles
- Mark Chuoke
- Cider Mill Dental, PLLC
- Julia Mary Cizeski
- Cheryl Cohen
- Lindsay Collins
- Connecticut Dental Professionals, P.C.
All providers in Mansfield Center, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.