Susanne Carroll Duffy, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS945 Issued in ME

Practice address

471 Gin Cove Rd
Perry, ME 04667-3034

Phone

(207) 853-7246

NPI assigned

May 20, 2008

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Sue Carroll Duffy, Psy.D., LLC Susanne Carroll Duffy Sole MBR

  dba Moving Stories

  • Clinical Psychologist
  • Perry, ME
  • NPI 1861249153
  NPD Authorized official
• Aroostook Mental Health Services, Inc.

  dba Amhc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Psychologist

  NPD (past)
• Passamaquoddy Tribal Council

  dba Pleasant Point Health Center

  • Federally Qualified Health Center (FQHC)
  • Pleasant Point, ME
  • NPI 1760474613
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1275790966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670351",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 GIN COVE RD",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046673034",
            "telephone_number": "207-853-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL DUFFY",
        "first_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292150099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie M Apt-Brackett, RN
• Rhonda Bowen
• Chelsea Jean Brady, LADC, CCS
• Michael Frederick Breckinridge, RPH
• Cedar Haven Counseling, LLC
• Faith Cummings, CNA
• Cyrilla M Francis
• Edward F. Harris, DMD
• Kimberly A Landrau, PHD

• Psychologist in Perry, ME
• Providers in Perry, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.