Active NPI
Susan Hale Zeichner, PSY.D.
- Psychologist
- Somerville, MA
National Provider Identifier
1487844569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9190
- Practice address
- 68 Josephine Ave
Somerville, MA 02144-2207 - Phone
- (617) 625-8797
- NPI assigned
- Jul 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9190 | MA | Primary |
Addresses
Primary practice location
68 Josephine Ave
Somerville, MA 02144-2207
Mailing address
68 Josephine Ave
Somerville, MA 02144-2207
Phone (617) 625-8797
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000406 | MA | Practitioner - Clinical Psychologist | 7113041591 | Practice locations: Somerville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 Josephine Ave
Somerville, MA 02144-2207
Phone (617) 625-8797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9190 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1487844569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 JOSEPHINE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442207",
"telephone_number": "617-625-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 JOSEPHINE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442207",
"telephone_number": "617-625-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEICHNER",
"first_name": "SUSAN",
"middle_name": "HALE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9190",
"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 Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.