Susan Elisabeth Bordeaux

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN2331124 Issued in MA

Practice address

8 Atwood Dr
Northampton, MA 01060-4266

Phone

(413) 773-1000

Fax

(413) 774-1776

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1568191302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SOUTH ST TRLR 25",
            "city": "BERNARDSTON",
            "state": "MA",
            "postal_code": "013379494",
            "telephone_number": "208-850-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ATWOOD DR",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604266",
            "telephone_number": "413-773-1000",
            "fax_number": "413-774-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "SUSAN",
        "middle_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bolibok, LICSW
• Tom Bonanno
• Jessica Stevens Bond, LICSW
• Patricia A Bonner, D.M.D.
• Arianna Bonzagni, DOCTOR OF PHARMACY
• Catherine Boshe, CNM
• Jeffrey Bostian, D.O.
• Peter Copeland Bott, MSW
• Tyler Boudreau, LICSW
• Andrew B. Bourke, PH.D.

• Psychiatric/Mental Health Registered Nurse in Northampton, MA
• Providers in Northampton, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.