Individual provider Active NPI

Danielle Marie Suraci, L.C.S.W.

  • Mental Health Counselor
  • Branford, CT
National Provider Identifier
1659681971
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008659 Issued in CT
Practice address
14 Sycamore Way
Branford, CT 06405-6551
Phone
(203) 483-2630
Fax
(203) 483-2659
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 008659 CT Primary

Addresses

Primary practice location

14 Sycamore Way
Branford, CT 06405-6551

Mailing address

127 Washington Ave
Third Floor West
North Haven, CT 06473-1715
Phone (203) 446-9739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8659CTMDProfessional Counselor
008659CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1659681971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON AVE",
            "address_2": "THIRD FLOOR WEST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731715",
            "telephone_number": "203-446-9739",
            "fax_number": "203-446-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SYCAMORE WAY",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056551",
            "telephone_number": "203-483-2630",
            "fax_number": "203-483-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACI",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "008659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.