Individual provider Active NPI

Susan Moitozo, M.ED.

  • Addiction (Substance Use Disorder) Counselor
  • East Wareham, MA
National Provider Identifier
1356880132
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
358 Issued in MA
Practice address
3088 Cranberry Hwy Ste a
East Wareham, MA 02538-4800
Phone
(855) 830-4327
Fax
(508) 295-3781
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 358 MA Primary

Addresses

Primary practice location

3088 Cranberry Hwy Ste a
East Wareham, MA 02538-4800

Mailing address

3088 Cranberry Hwy Ste a
East Wareham, MA 02538-4800
Phone (855) 830-4327

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
358MAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. Past Accepting new patients
Habit Opco, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1356880132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 CRANBERRY HWY STE A",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384800",
            "telephone_number": "855-830-4327",
            "fax_number": "508-295-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 CRANBERRY HWY STE A",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384800",
            "telephone_number": "855-830-4327",
            "fax_number": "508-295-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOITOZO",
        "first_name": "SUSAN",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.