Leonard C Suchotliff, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00394 Issued in CT

Practice address

7 Chestnut Hill Rd
West Hartford, CT 06107-3151

Phone

(860) 216-6652

Fax

(860) 216-6652

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Michael S. Johnson, PH.D., P.C.

  • Clinical Psychologist
  • Danbury, CT
  • NPI 1356577530
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1356361141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHESTNUT HILL RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073151",
            "telephone_number": "860-216-6652",
            "fax_number": "860-216-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHESTNUT HILL RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073151",
            "telephone_number": "860-216-6652",
            "fax_number": "860-216-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHOTLIFF",
        "first_name": "LEONARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "00394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040007456",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suburban Home Medical Inc
• Suburban Home Medical, Inc
• Suburban Pharma Inc
• Suburban Pharma Inc
• Suburban Pharmacy LTC Inc
• Amanda Kate Sullivan
• Emily Sullivan
• Emily Ricker Sullivan, M ED., BCBA
• Sullivan, Lemay & Associates Behavioral Health & Wellness LLC
• Melinda Jean Sullivan, LCSW LADC

• Clinical Psychologist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.