Susan Polese, L.PC., N.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

158 Danbury Rd
Suite 7
Ridgefield, CT 06877-3227

Phone

(203) 278-5116

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1548626617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CROSBY RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601043",
            "telephone_number": "914-629-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DANBURY RD",
            "address_2": "SUITE 7",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773227",
            "telephone_number": "203-278-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESE",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "L.PC., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Jean Prestegaard Philbin, JENNIFER PHILBIN
• Marisa Faye Prezioso, LPC-A
• Rachel Herold Priem, MD

• Professional Counselor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.