Individual provider Active NPI

Susana J Ferradas, LMHC, PHD

  • Counseling Psychologist
  • Somerville, MA
National Provider Identifier
1386849073
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
06238 Issued in MD
Practice address
120 Curtis St
Somerville, MA 02144-1243
Phone
(305) 205-2898
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7659 FL
Counseling Psychologist 103TC1900X 06238 MD Primary

Addresses

Primary practice location

120 Curtis St
Somerville, MA 02144-1243

Mailing address

90 Salem St # 7
Malden, MA 02148-5290
Phone (305) 205-2898

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH7659FLMDMental Health Counselor
06238MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bregman Psychiatry LLC Mental Health PastSince May 16, 2009 Accepting new patients

Organizations & group practices 1

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1386849073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SALEM ST # 7",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485290",
            "telephone_number": "305-205-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CURTIS ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441243",
            "telephone_number": "305-205-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRADAS",
        "first_name": "SUSANA",
        "middle_name": "J",
        "credential": "LMHC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7659",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "06238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.