Psychiatric Services of Suffield, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSYCHIATRIC SERVICES OF SUFFIELD, LLC

Practice address

133 Mountain Rd Ste 6
Suffield, CT 06078-2084

Phone

(860) 239-0480

Fax

(860) 239-0486

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Christine L Doucette, APRNNPI 1609383934

Title

Owner

Phone

(860) 597-1180

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine L Doucette, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffield, CT
  • NPI 1609383934
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1710522990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HUNTER LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331440",
            "telephone_number": "860-597-1180",
            "fax_number": "860-239-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MOUNTAIN RD STE 6",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782084",
            "telephone_number": "860-239-0480",
            "fax_number": "860-239-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF SUFFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-597-1180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Park, LCSW
• Peter L. Coombs, DMD, PC
• Eric J. Peters, PHD
• Ashley Petersen
• Alix Pierce, LPC
• Psychological Health Center of Suffield, LLC
• Quality Choice Homecare LLC
• Quality Choice Homecare LLC
• Susan Thompson Rafferty, ATC,L
• Giovanna Recchia

• Mental Health Clinic/Center (Including Community Mental Health Center) in Suffield, CT
• Providers in Suffield, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.