Active NPI
Susan Nathiel, PH.D. LMFT
- Marriage & Family Therapist
- Hamden, CT
National Provider Identifier
1720209638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000161
- Practice address
- 3074 Whitney Ave
BLDG 1
Hamden, CT 06518-2391 - Phone
- (203) 230-8818
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000161 | CT | Primary |
Addresses
Primary practice location
3074 Whitney Ave
BLDG 1
Hamden, CT 06518-2391
Mailing address
3074 Whitney Ave
BLDG 1
Hamden, CT 06518-2391
Phone (203) 230-8818
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000161 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720209638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 WHITNEY AVE",
"address_2": "BLDG 1",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182391",
"telephone_number": "203-230-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3074 WHITNEY AVE",
"address_2": "BLDG 1",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182391",
"telephone_number": "203-230-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHIEL",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "000161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.