Active NPIIndividual providerSole proprietor

Dr. Sursatie D Chetram, PHD, LPC

Counselor, Professional in Vernon, Connecticut

NPI Number1235639444
Practice location
100 Talcott Ave, Vernon, CT 06066-3142
Fax
860-736-2222
Last updated
April 16, 2024

Sursatie Devi Chetram is a Counselor, Professional based in Vernon, CT. Sursatie Devi Chetram practices in Vernon, CT and has the professional credentials of PHD, LPC. The NPI Number for Sursatie Devi Chetram is 1235639444 and holds a License No. 46.003262 (CT). The current practice location address for Sursatie Devi Chetram is 100 Talcott Ave, Vernon, CT 06066-3142 and can be reached out via phone at 203-500-6152 and via fax at 860-736-2222.

Provider Profile Details

NPI Number
1235639444
Provider Name
Sursatie Devi Chetram
Credential
PHD, LPC
Provider Entity Type
Individual
Gender
Female
Address
100 Talcott Ave, Vernon, CT 06066-3142
Phone Number
203-500-6152
Fax Number
860-736-2222
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2018
Last Update Date
April 16, 2024
Certification Date
April 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Talcott Ave
Vernon, CT 06066-3142
City
Vernon
Zip
06066-3142
Phone Number
203-500-6152
Fax Number
860-736-2222
Vernon, CT 06066Get directions →

Provider Business Mailing Address Details

Address
Po Box 211
North Haven, CT 06473-0211
City
North Haven
State
CT
Zip
06473-0211
Phone Number
203-500-6152
Fax Number
860-736-2222

License Information

License Number
46.003262
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sursatie D Chetram, PHD, LPC?

The NPI number of Dr. Sursatie D Chetram, PHD, LPC is 1235639444. It was assigned on February 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Sursatie D Chetram, PHD, LPC?

Dr. Sursatie D Chetram, PHD, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 46.003262.

Where does Dr. Sursatie D Chetram, PHD, LPC practice?

The practice location is 100 Talcott Ave, Vernon, CT 06066-3142. The office can be reached at 203-500-6152 (phone) or 860-736-2222 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235639444 directly on the NPPES registry website.

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