SUSAN E DIETERICH PHD LLC
NPI 1598217614
Clinic/Center - Adolescent and Children Mental Health in Westport, CT

Active since October 25, 2016
64 POST RD W, WESTPORT, CT 06880(203) 635-2622 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan E Dieterich Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN E DIETERICH PHD LLC (NPI 1598217614) is a healthcare organization registered as an adolescent and children mental health in Westport, Connecticut and active in the NPI registry since October 2016. The organization lists Susan Dieterich, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1598217614
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSUSAN E DIETERICH PHD LLC
Location Address64 POST RD WWestport, CT 06880-4208
Mailing Address64 Post Rd WWestport, CT 06880-4208 · (203) 635-2622
Organization SubpartNo
Authorized OfficialSusan DieterichPsychologist · (203) 635-2622
Enumeration DateOctober 25, 2016
NPI 1598217614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License Licensed in CT · 002826
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 002826 (CT)
64 POST RD W, Westport, CT 06880

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
64 POST RD W
WESTPORT, CT 06880
Psychologist
64 POST RD W
WESTPORT, CT 06880
Clinic/Center (Adult Mental Health)
64 POST RD W
WESTPORT, CT 06880
Psychologist (Clinical)
64 POST RD W
WESTPORT, CT 06880
Psychiatry & Neurology (Child & Adolescent Psychiatry)
64 POST RD W, 2ND FLOOR
WESTPORT, CT 06880
Psychologist (Clinical)
64 POST RD W
WESTPORT, CT 06880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan E Dieterich Phd LLC's NPI number?

The NPI number for Susan E Dieterich Phd LLC is 1598217614. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Susan E Dieterich Phd LLC located?

Susan E Dieterich Phd LLC is located at 64 Post Rd W, Westport, CT 06880. The listed phone number is (203) 635-2622.

What is Susan E Dieterich Phd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Susan E Dieterich Phd LLC was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.