MS. SUSAN A. BORITZ M.A. NPI 1639328974

NPI Information

  • NPI: 1639328974
  • Provider Name: MS. SUSAN A. BORITZ, M.A.
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 CHURCH HILL RD STE 201B
    NEWTOWN, CT
    ZIP 06470
  • Phone: (203) 917-8585

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NPI Details

MS. Susan A. Boritz, M.A. is a marriage family therapist in Newtown, CT with 20 years of experience. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MS. Susan A. Boritz, M.A. NPI is 1639328974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 CHURCH HILL RD STE 201B
NEWTOWN, CT
ZIP 06470-646
Phone: (203) 917-8585
Fax: (203) 826-2211

The NPI 1639328974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)000910CONNECTICUTNo
2101YM0800XCounselorMental Health001240CONNECTICUTNo
3106H00000XMarriage & Family Therapist001240CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004257318MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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