Richard Daniel Sutter, PH.D.
Individual provider Active NPI Psychologist · Windsor, MA
NPI 1821384629 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1821384629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 8310 (NY)
- Practice address
- 975 E Windsor Rd
Windsor, MA 01270-9607 - Phone
- (413) 347-0366
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8310 | NY | MD | Psychologist |
| 008310 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8310 | NY | Yes |
Addresses
Primary practice location
975 E Windsor Rd
Windsor, MA 01270-9607
Mailing address
975 E Windsor Rd
Windsor, MA 01270-9607
Phone (413) 347-0366
Other providers in Windsor, MA
- Bridget Marie Brockway
- Tiffany R. Brower
- Oquawn Fraser
- Miranda Sadlow
- Yvette Rose Stoddard
- Town of Windsor
All providers in Windsor, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.