Susan Daly, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9620 Issued in CT

Practice address

80 Old Ridgefield Rd
Wilton, CT 06897-3012

Phone

(203) 632-0617

Fax

(203) 312-1931

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Daly Professional name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Shoreline Psychiatry of Western Connecticut LLCGroup PAC ID 9133228695, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Mental Health Associates PLLC

  • Adult Mental Health Clinic/Center
  • Wilton, CT
  • NPI 1093582066
  Medicare reassignment NPD Authorized official
• Shoreline Psychiatry of Western Connecticut, LLC

  • Psychiatry Physician
  • Norwalk, CT
  • NPI 1134251564
  Medicare reassignment Care Compare group NPD
• WCT Behavioral Health & Medication Management PLLC

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285391474
  Medicare reassignment Care Compare group NPD
• Cyril Waynik MD PC

  • Psychiatry Physician
  • Fairfield, CT
  • NPI 1467675850
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1205418498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANGNER LN",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831231",
            "telephone_number": "203-632-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973012",
            "telephone_number": "203-632-0617",
            "fax_number": "203-312-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DALY",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Wilton, CT
• Providers in Wilton, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.