Active NPI
Suzanne Lee Cooley, MSN, RN, CS
- Psychiatric/Mental Health Nurse Practitioner
- Wellesley Hills, MA
National Provider Identifier
1053489237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 119642
- Practice address
- 42 Washington St
Suite 210
Wellesley Hills, MA 02481-1803 - Phone
- (781) 416-7317
- Fax
- (781) 416-4321
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 119642 | MA | Primary |
Addresses
Primary practice location
42 Washington St
Suite 210
Wellesley Hills, MA 02481-1803
Mailing address
34 Oak Ter
Newton Highlands, MA 02461-1409
Phone (617) 244-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119642 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonious Mind LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wellesley, MA
- NPI 1861250706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1053489237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 OAK TER",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611409",
"telephone_number": "617-244-0235",
"fax_number": "781-416-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WASHINGTON ST",
"address_2": "SUITE 210",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024811803",
"telephone_number": "781-416-7317",
"fax_number": "781-416-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "SUZANNE",
"middle_name": "LEE",
"credential": "MSN, RN, CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "119642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.