Individual provider Active NPI

Susan P Stevens, APRN BC

  • Psychiatric/Mental Health Registered Nurse
  • Westborough, MA
National Provider Identifier
1487610168
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
236049 Issued in MA
Practice address
154 E Main St
Westborough, MA 01581-1768
Phone
(508) 870-0647
Fax
(508) 316-5846
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 236049 MA Primary

Addresses

Primary practice location

154 E Main St
Westborough, MA 01581-1768

Mailing address

23 Ruggles St
Westborough, MA 01581-2032
Phone (617) 201-4846

Other practice location 1

23 Ruggles St
Westborough, MA 01581-2032
Phone (617) 201-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000476 MA Practitioner - Nurse Practitioner 7517932528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Colony Care IncGroup PAC ID 0042282055, 29 clinicians
Jonathan Rothman MDGroup PAC ID 7719936905, 5 clinicians

Practice addresses (Care Compare)

11 River St
Wellesley, MA 02481-2098
Phone (781) 431-1177

154 E Main St
Westborough, MA 01581-1768
Phone (508) 791-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
236049MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Rothman MD CurrentSince Jul 16, 2004 Accepting new patients
Colony Care Inc CurrentSince Aug 1, 2023 Accepting new patients
Jonathan Rothman, M.D. Past Accepting new patients
Riverside Community Care, Inc. Past Accepting new patients

Locations

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

154 E Main St
Ste 201
Westborough, MA 01581

154 E Main St
Westborough, MA 01581
Phone (508) 366-7899

Organizations & group practices 4

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1487610168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RUGGLES ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812032",
            "telephone_number": "617-201-4846",
            "fax_number": "508-316-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E MAIN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811768",
            "telephone_number": "508-870-0647",
            "fax_number": "508-316-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Ruggles St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015812032",
            "country_code": "US",
            "telephone_number": "617-201-4846",
            "fax_number": "617-604-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "236049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.