Susan J Boorin, PHD, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

003777 Issued in CT

Practice address

120 Broad St
Milford, CT 06460-4725

Phone

(203) 693-2636

Fax

(203) 283-5877

NPI assigned

Jun 27, 2012

Last updated

May 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Yale University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Psychiatric Health Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, CT
  • NPI 1407264351

  Single Specialty

  Medicare reassignment NPD Authorized official
• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • Hartsdale, NY
  • NPI 1154025245
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1972867695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SILVER HILL RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121115",
            "telephone_number": "203-521-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604725",
            "telephone_number": "203-693-2636",
            "fax_number": "203-283-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORIN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003777",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401504",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "3777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bona Vita Wellness and Psychiatric Center
• Joan Bonci, CRNA
• Amanda Leigh Bonessi, LPC
• Beatrice A Bonet
• Allison Bonito, PT, DPT, CLT
• Karen A Borsos-Debs, DPM
• Amy Dawn Bortnick
• Boscovs Department Store LLC (Boscov's Optical)
• Jennifer Marie Bosma, SLP
• Berthania Boursiquot, LPCA

• Psychiatric/Mental Health Nurse Practitioner in Milford, CT
• Providers in Milford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.