Suzanne Winkelman Brunelle, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012742 Issued in NY

Practice address

113 Saratoga Rd
Socha Plaza South
Glenville, NY 12302-7100

Phone

(518) 399-3220

Fax

(518) 399-7195

NPI assigned

Jul 7, 2006

Last updated

Jun 3, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Specialists, PLLC

  • Clinical Social Worker
  • Latham, NY
  • NPI 1992809016
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1396777314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODS EDGE",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279796",
            "telephone_number": "518-399-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SARATOGA RD",
            "address_2": "SOCHA PLAZA SOUTH",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123027100",
            "telephone_number": "518-399-3220",
            "fax_number": "518-399-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE",
        "first_name": "SUZANNE",
        "middle_name": "WINKELMAN",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Bressler Wakesberg, LCSW
• Sarah Brewer
• Nicole Jennifer Brooks, PHARMD,RPH
• Danyelle Jean Brown, RN
• Beth Brownell
• Burnt Hills-Ballston Lake Central School District
• Diego Cabrera
• Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Glenville)
• Captain Community Human Services, Inc. (CHS)
• Kimberly Anne Carr, MS, CCC-SLP

• Psychologist in Glenville, NY
• Providers in Glenville, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.