Theodore Harry Such Jr., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

500 Colony Rd
Gardner, MA 01440-4239

Phone

(978) 638-6000

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1235913468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BROOK DR",
            "city": "HINSDALE",
            "state": "NH",
            "postal_code": "034512201",
            "telephone_number": "603-336-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLONY RD",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014404239",
            "telephone_number": "978-638-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCH",
        "first_name": "THEODORE",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven K. Branch, MD, PHD, PC
• Carole A Stomieroski
• Andrew Stone
• Deborah B Stone, PMHNP-BC
• Jaylene G Suazo, BSW
• John Sugrue
• Jamie Sullivan
• David C. Susman
• Art Sweed, LCSW
• Francis W. Sweeney, M.D.

• Mental Health Counselor in Gardner, MA
• Providers in Gardner, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.