Kenneth R. Suckerman, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00138800 Issued in NJ

Legal business name

KENNETH R. SUCKERMAN, PH.D., P.A.

Practice address

G9 Brier Hill CT
East Brunswick, NJ 08816-3338

Phone

(732) 238-9400

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R. Suckerman, PH.D.NPI 1821155995

Title

President

Phone

(732) 238-9400

Specialties & licenses 1

Addresses

Other names 1

• East Brunswick Psychological Asssociates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Robert Suckerman, PH.D.

  • Clinical Psychologist
  • East Brunswick, NJ
  • NPI 1821155995
  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1669504171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G9 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163338",
            "telephone_number": "732-238-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G9 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163338",
            "telephone_number": "732-238-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. SUCKERMAN, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "SUCKERMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-238-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00138800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Brunswick Psychological Asssociates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Kena, LCSW
• Prince Kena, APN, C
• Brian P Kennedy, M.D.
• Eugene Cullen Kennedy, MD
• Kenneth M. Li, DDS, PA
• Kenneth S. Klein, M.D. P.a.
• Sylvia Kerolus
• Kessler Institute for Rehabilitation, Inc.
• Eman Khalil, LCSW
• Venus T Khalil, M.D.

• Clinical Psychologist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.