Susan Mann, MD, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

71838 Issued in MA

Legal business name

SUSAN MANN, MD, LLC

Practice address

1180 Beacon St
Suite a
Brookline, MA 02446-3885

Phone

(617) 366-7711

NPI assigned

Jan 4, 2014

Organization subpart

No

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

Authorized official

Name

Susan Mann, MD

Title

Ceo

Phone

(617) 366-7711

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1619398922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-366-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-366-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MANN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-366-7711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "71838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sugrue, LMHC, CADAC
• Junghan Suh
• Elena Sullivan, PA-C
• Cara Sullo, CCC-SLP
• Dyanna C Sun, NURSE PRACTITIONER
• Susan Widdicombe Therapy, PLLC
• Lisa J. Sutton, PH.D., LICSW
• Leila El-Youssef Suwwan, D.M.D.
• Bruce H Suzuki, M.D.
• Abigail Sveden, MS, CGC

• Medical Specialty Clinic/Center in Brookline, MA
• Providers in Brookline, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.