Active NPI
Susan D Siroty, PSY.D.
- Psychoanalysis Psychologist
- West Newton, MA
National Provider Identifier
1457343980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 7374
- Practice address
- 1075 Washington St
West Newton, MA 02465-2185 - Phone
- (617) 965-1885
- NPI assigned
- Aug 19, 2005
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 7374 | MA | |
| Psychologist | 103T00000X | 7374 | MA | |
| Adult Development & Aging Psychologist | 103TA0700X | 7374 | MA | |
| Clinical Psychologist | 103TC0700X | 7374 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 7374 | MA | |
| Psychoanalysis Psychologist | 103TP0814X | 7374 | MA | Primary |
Addresses
Primary practice location
1075 Washington St
West Newton, MA 02465-2185
Mailing address
1075 Washington St
Suite 3
West Newton, MA 02465-2185
Phone (617) 965-1885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7374 | Other | MA | PSYCHOLOGIST |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1457343980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 WASHINGTON ST",
"address_2": "SUITE 3",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652185",
"telephone_number": "617-965-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 WASHINGTON ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652185",
"telephone_number": "617-965-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROTY",
"first_name": "SUSAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "MA",
"license": "7374",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7374",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "7374",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7374",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "7374",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "MA",
"license": "7374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "7374",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.