Individual provider Active NPI

Don P Sugai, PHD

  • Clinical Psychologist
  • Lowell, MA
National Provider Identifier
1225045198
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2626 Issued in MA
Practice address
77 E Merrimack St Ste 23
Lowell, MA 01852-1900
Phone
(978) 452-3711
NPI assigned
Aug 2, 2006
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2626 MA Primary

Addresses

Primary practice location

77 E Merrimack St Ste 23
Lowell, MA 01852-1900

Mailing address

77 E Merrimack St Ste 23
Lowell, MA 01852-1900
Phone (978) 452-3711

Other identifiers 1

IdentifierTypeStateIssuer
0515825MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040528000503 MA Practitioner - Clinical Psychologist 5496741910 Practice locations: Lowell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 E Merrimack St
Suite 23
Lowell, MA 01852-1900
Phone (978) 452-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1225045198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST STE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521900",
            "telephone_number": "978-452-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST STE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521900",
            "telephone_number": "978-452-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAI",
        "first_name": "DON",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515825",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.