NPIMap

Organization Active NPI

Susan Czernicka PC

  • Clinical Psychologist
  • New Bedford, MA
National Provider Identifier
1649485590
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2731 Issued in MA
Legal business name
SUSAN CZERNICKA PC
Practice address
800 Purchase St
Suite 306
New Bedford, MA 02740-6355
Phone
(617) 835-8175
Fax
(508) 300-0206
NPI assigned
May 14, 2007
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Susan Czernicka, EDDNPI 1881684579
Title
Psychologist
Phone
(617) 835-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2731 MA Primary

Addresses

Primary practice location

800 Purchase St
Suite 306
New Bedford, MA 02740-6355

Mailing address

1414 Drift Rd
Westport, MA 02790-1629
Phone (617) 835-8175

National Provider Directory

National Provider Directory

Locations

345 Union St
Unit 2
New Bedford, MA 02740
Phone (508) 617-3296

800 Purchase St
Ste 306
New Bedford, MA 02740
Phone (617) 835-8175

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1649485590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 DRIFT RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027901629",
            "telephone_number": "617-835-8175",
            "fax_number": "508-300-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PURCHASE ST",
            "address_2": "SUITE 306",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406355",
            "telephone_number": "617-835-8175",
            "fax_number": "508-300-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN CZERNICKA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "CZERNICKA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-835-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.