Individual provider Active NPI

Susan D. Downing, PSY.D.

  • Clinical Neuropsychologist
  • Concord, MA
National Provider Identifier
1356510960
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY 3839-PR Issued in MA
Practice address
9 Pond LN
Damonmill Square, Suite 3-1a
Concord, MA 01742-2858
Phone
(978) 505-1114
Fax
(978) 456-3489
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY 3839-PR MA Primary

Addresses

Primary practice location

9 Pond LN
Damonmill Square, Suite 3-1a
Concord, MA 01742-2858

Mailing address

PO Box 134
Harvard, MA 01451-0134
Phone (978) 505-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY 3839-PRMAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1356510960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014510134",
            "telephone_number": "978-505-1114",
            "fax_number": "978-456-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POND LN",
            "address_2": "DAMONMILL SQUARE, SUITE 3-1A",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422858",
            "telephone_number": "978-505-1114",
            "fax_number": "978-456-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "PY 3839-PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.