Itamar Suarez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7472 Issued in PR

Practice address

1100 Washington St
Dorchester, MA 02124-5537

Phone

(617) 325-2993

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  Medicare reassignment NPD
• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Rio Grande, PR
  • NPI 1073015566
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1205540317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245537",
            "telephone_number": "617-325-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245537",
            "telephone_number": "617-325-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ITAMAR",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shani Stone
• Stoughton Street Chiropractic & Rehab, Inc.
• Hanna Strek
• Strive2Beinc
• Andres Su, M.D.
• Maryann Sullivan
• Penny A. Sullivan, MSW
• Caroline Sunshine
• Superior Enterprise Inc
• Carissa Lynne Surace

• Clinical Psychologist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.