Active NPI
Susan Tulchin, RNCS
- Psychiatric/Mental Health Registered Nurse
- Wellesley, MA
National Provider Identifier
1679594667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 116684
- Practice address
- 230 Worcester St
Wellesley, MA 02481-5420 - Phone
- (781) 431-5270
- NPI assigned
- Jul 22, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 116684 | MA | Primary |
Addresses
Primary practice location
230 Worcester St
Wellesley, MA 02481-5420
Mailing address
230 Worcester St
Harvard Vanguard Medical Associates
Wellesley, MA 02481-5420
Phone (781) 431-5480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 669500 | Other | MA | TUFTS HEALTH PLAN |
| PN0626 | Other | MA | BLUE CROSS |
| 0036955 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1679594667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"address_2": "HARVARD VANGUARD MEDICAL ASSOCIATES",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420",
"telephone_number": "781-431-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420",
"telephone_number": "781-431-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULCHIN",
"first_name": "SUSAN",
"credential": "RNCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "116684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "669500",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PN0626",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0036955",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.