Individual provider Active NPI

Susan D Trutt, PH.D

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1508904194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0004271 Issued in FL
Practice address
7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458
Phone
(561) 392-4700
Fax
(561) 394-9559
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0004271 FL Primary
Psychologist 103T00000X 3605 OH

Addresses

Primary practice location

7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458

Mailing address

7301 W Palmetto Park Rd
Suite 208-a
Boca Raton, FL 33433-3458
Phone (561) 392-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000227 FL Practitioner - Clinical Psychologist 7719169622 Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7301 W Palmetto Park Rd
Suite 208a
Boca Raton, FL 33433-3456
Phone (561) 392-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004271FLMDPsychologist
3605OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Leonard J. Ferrante LLC PastSince Jan 4, 2026 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": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508904194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 208-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-392-4700",
            "fax_number": "561-394-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 208-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-392-4700",
            "fax_number": "561-394-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUTT",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004271",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.