Individual provider

SUSANNA M PHILIBERT, LICSW, LCDP

CMS NPPES lists SUSANNA M PHILIBERT as an individual provider record with NPI 1013928696. The current record reports a primary practice location in BARRINGTON, RI and primary taxonomy code 1041C0700X.

NPI 1013928696Record type Type 1Primary taxonomy 1041C0700X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    EAST BAY MENTAL HEALTH CENTER2 OLD COUNTY ROADBARRINGTON, RI 02806
  2. Additional practice location
    530 N Main StProvidence, RI 029045762

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 1041C0700XPrimary reported taxonomy
  • 101YA0400XAdditional reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
August 10, 2006

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.