Individual provider Active NPI

Susan Teresa Savulak, M.D.

  • Psychiatry Physician
  • Southington, CT
National Provider Identifier
1962495606
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
035159 Issued in CT
Practice address
31 Liberty St Ste 211
Southington, CT 06489-3114
Phone
(860) 276-0191
Fax
(860) 276-0195
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 035159 CT Primary

Addresses

Primary practice location

31 Liberty St Ste 211
Southington, CT 06489-3114

Mailing address

31 Liberty St Ste 211
Southington, CT 06489-3114
Phone (860) 276-0191

Other practice location 1

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 2

31 Liberty St
Southington, CT 06489-3114

Other practice location 3

31 Liberty St.
Suite 211
Southington, CT 06489

Other practice location 4

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 5

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 6

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 7

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 8

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 9

31 Liberty St Ste 211
Southington, CT 06489-3114

Other practice location 10

31 Liberty St Ste 211
Southington, CT 06489-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000380 CT Practitioner - Psychiatry 5294919254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Liberty St
Suite 211
Southington, CT 06489-3114
Phone (860) 276-0191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Susan T. Savulak, MD, LLC Psychiatry CurrentSince Nov 13, 2014 Accepting new patients

Locations

31 Liberty St
Ste 111
Southington, CT 06489
Phone (860) 276-0191

31 Liberty St
Ste 211
Southington, CT 06489
Phone (860) 276-0191

Interoperability endpoints

  • Direct secure messaging: susan.savulak@ctproviderdirect.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1962495606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LIBERTY ST STE 211",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893114",
            "telephone_number": "860-276-0191",
            "fax_number": "860-276-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LIBERTY ST STE 211",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893114",
            "telephone_number": "860-276-0191",
            "fax_number": "860-276-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St.",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Liberty St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893114",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVULAK",
        "first_name": "SUSAN",
        "middle_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "035159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.