Active NPI
Sue M Sand, PSYD
- Psychologist
- Newton, MA
National Provider Identifier
1225128663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4145
- Practice address
- 32 Devonshire Rd
Newton, MA 02468 - Phone
- (617) 244-8216
- Fax
- (617) 244-7646
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4145 | MA | Primary |
Addresses
Primary practice location
32 Devonshire Rd
Newton, MA 02468
Mailing address
32 Devonshire Rd
Newton, MA 02468
Phone (617) 244-8216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2018 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4145 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225128663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 DEVONSHIRE RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "02468",
"telephone_number": "617-244-8216",
"fax_number": "617-244-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 DEVONSHIRE RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "02468",
"telephone_number": "617-244-8216",
"fax_number": "617-244-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAND",
"first_name": "SUE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.