Kathleen Sugrue, LMHC, CADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4744 Issued in MA

Practice address

1674 Beacon St
2ND Floor
Brookline, MA 02445-2148

Phone

(617) 842-4311

Fax

(617) 325-1317

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1336171156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COLBY RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021327919",
            "telephone_number": "617-842-4311",
            "fax_number": "617-325-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 BEACON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024452148",
            "telephone_number": "617-842-4311",
            "fax_number": "617-325-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGRUE",
        "first_name": "KATHLEEN",
        "credential": "LMHC, CADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4744",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "0937 AD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LM0754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nan D Stromberg, APRN, BC
• Linda A Stubblefield, M.S.W.
• Aaron Christopher Styles, L.M.T.
• Mingfang Su, DMD
• Meera Subramaniam, DMD
• Junghan Suh
• Elena Sullivan, PA-C
• Cara Sullo, CCC-SLP
• Dyanna C Sun, NURSE PRACTITIONER
• Susan Mann, MD, LLC

• Mental Health Counselor in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.