Active NPI
Suzanne Harmon, ED.D.
- Counseling Psychologist
- Lincoln, MA
National Provider Identifier
1356462857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3420
- Practice address
- 172 Trapelo Rd
Lincoln, MA 01773-2904 - Phone
- (781) 259-9881
- NPI assigned
- Apr 2, 2007
- Last updated
- Sep 22, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 3420 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3420 | MA | |
| Clinical Psychologist | 103TC0700X | 3420 | MA | |
| Counseling Psychologist | 103TC1900X | 3420 | MA | Primary |
Addresses
Primary practice location
172 Trapelo Rd
Lincoln, MA 01773-2904
Mailing address
172 Trapelo Rd
Lincoln, MA 01773-2904
Phone (781) 259-9881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0898 | Other | NM | PSYCHOLOGY LICENSE |
| 3420 | Other | MA | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 3, 2025 through Aug 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1356462857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 TRAPELO RD",
"city": "LINCOLN",
"state": "MA",
"postal_code": "017732904",
"telephone_number": "781-259-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 TRAPELO RD",
"city": "LINCOLN",
"state": "MA",
"postal_code": "017732904",
"telephone_number": "781-259-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "3420",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "3420",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3420",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "3420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "0898",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "3420",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.