Active NPI
Susana J Ferradas, LMHC, PHD
- Counseling Psychologist
- Somerville, MA
National Provider Identifier
1386849073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 06238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH7659 | FL | MD | Mental Health Counselor |
| 06238 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bregman Psychiatry LLC | Mental Health | Past | 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.