Active NPI
Susan Schnur, PH.D.
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1639456163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9433
- Practice address
- 1093 Beacon St
Ste 404
Brookline, MA 02446-5695 - Phone
- (617) 378-1833
- Fax
- (617) 774-1490
- NPI assigned
- Nov 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9433 | MA | Primary |
Addresses
Primary practice location
1093 Beacon St
Ste 404
Brookline, MA 02446-5695
Mailing address
7500 Great Meadow Rd
Dedham, MA 02026-4092
Phone (617) 378-1833
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9433 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1639456163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 GREAT MEADOW RD",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264092",
"telephone_number": "617-378-1833",
"fax_number": "617-774-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 BEACON ST",
"address_2": "STE 404",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465695",
"telephone_number": "617-378-1833",
"fax_number": "617-774-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNUR",
"first_name": "SUSAN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.