Susan R. Tucker, MD,P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUSAN R. TUCKER, MD,P.C.

Practice address

221 Route 5 S
Norwich, VT 05055-9523

Phone

(802) 369-9378

Fax

(802) 649-7217

NPI assigned

Nov 1, 2017

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan R Tucker, MDNPI 1013942796

Title

Owner

Phone

(802) 369-9378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Rona Tucker, M.D.

  • Psychiatry Physician
  • Norwich, VT
  • NPI 1013942796
  Medicare reassignment Authorized official
• Doreen Gail Schweizer, MSW LICSW

  • Clinical Social Worker
  • Norwich, VT
  • NPI 1508904913
  NPD (past)
• Rima Itani Al-Nimr, RD/RDN, LD

  • Registered Dietitian
  • Lebanon, NH
  • NPI 1659745586
  NPD (past)
• Marcia Herrin, EDD, MPH, RD, LD

  • Registered Dietitian
  • Lebanon, NH
  • NPI 1215973748
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1821500604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050550252",
            "telephone_number": "802-369-9378",
            "fax_number": "802-649-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ROUTE 5 S",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559523",
            "telephone_number": "802-369-9378",
            "fax_number": "802-649-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Hawk Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "VT",
            "postal_code": "050559631",
            "country_code": "US",
            "telephone_number": "802-369-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSAN R. TUCKER, MD,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-369-9378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean John Seibert, M.D.
• Shoshanna S Shelley, ED.D
• Caleb John Shepherd, LICSW
• Steffanny Marcellina Smith, PHARMD
• Cynthia Marquess Stadler, CNM
• Synergy Psychotherapeutics PLC
• The Family Place
• The Family Place
• Hetty L. Thomae, MA
• Toby P Kravitz

• Psychiatry Physician in Norwich, VT
• Providers in Norwich, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.