Susan Moore, APRN/RN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

000792 Issued in CT

Practice address

99 Whitfield St
Guilford, CT 06437-3429

Phone

(203) 453-8553

NPI assigned

Dec 5, 2008

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)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1437394335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WHITFIELD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064373429",
            "telephone_number": "203-453-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITFIELD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064373429",
            "telephone_number": "203-453-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "credential": "APRN/RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "000792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Millhollan, APRN, FNP-C
• Laura Minatti, LCSW
• Marisa Mohrer, LCSW, MPH
• Peter L Mohrer, M.D.
• Shahla Mohsenin, M.D.
• Jake Edward Morgan
• Jennifer Morgan, PT, DPT
• Catherine Leaden Morneault, M.D.
• Victor Morris, MD
• Jacqueline Moscarelli, PT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Guilford, CT
• Providers in Guilford, CT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.