Suzanne O'Shea Bordeleau, MA, CGS, MFT, LMHC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MHC01400 Issued in RI

Practice address

100 Midway Rd
Cranston, RI 02920-5742

Phone

(401) 405-1239

NPI assigned

Aug 19, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suzanne O'Shea Associates

  • Marriage & Family Therapist
  • Cranston, RI
  • NPI 1245952969
  NPD Authorized official

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1932827557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20106",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIDWAY RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205742",
            "telephone_number": "401-405-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA BORDELEAU",
        "first_name": "SUZANNE",
        "credential": "MA, CGS, MFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-10-12",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC01400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Cranston, RI
• Providers in Cranston, RI by specialty
• Marriage & Family Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.