Susan Palmer-Ansorg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1287 Issued in NH

Practice address

319 Whittier Hwy Ste 8
Center Harbor, NH 03226-3624

Phone

(603) 998-6486

NPI assigned

Dec 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Specialty

Clinical Psychologist

Education

State University of New York at Buffalo School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Susan B. Palmer-Ansorg, PH.D. PLLC

  • Clinical Child & Adolescent Psychologist
  • Mill Creek, WA
  • NPI 1316026263
  NPD Authorized official
• Marvin Behavioral Health Ma PC

  • Psychologist
  • Boston, MA
  • NPI 1740860428
  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1376974592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WHITTIER HWY STE 8",
            "city": "CENTER HARBOR",
            "state": "NH",
            "postal_code": "032263624",
            "telephone_number": "603-998-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WHITTIER HWY STE 8",
            "city": "CENTER HARBOR",
            "state": "NH",
            "postal_code": "032263624",
            "telephone_number": "603-998-6486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Main St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030642716",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER-ANSORG",
        "first_name": "SUSAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois A Carey, ARNP
• Nancy Maude Duren
• Felicia Lynn Gallagher
• New Hampshire Physical Therapy Wellness
• Rachel E Payne, LMT
• Quality Care Services LLC
• Quality Care Services LLC
• Jean E Stowell, ARNP

• All providers in Center Harbor, NH
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.