Susan Eva Massenzio, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2513 Issued in MA

Practice address

82 Marlborough St
Boston, MA 02116

Phone

(617) 462-9297

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Massbay Counseling,Inc.

  • Clinical Social Worker
  • Marshfield, MA
  • NPI 1750437604
  NPD (past)
• Nova Psychiatric Services, PC

  • Community/Behavioral Health Agency
  • Quincy, MA
  • NPI 1881782522
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699816157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CANTON AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863526",
            "telephone_number": "617-462-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MARLBOROUGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-462-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENZIO",
        "first_name": "SUSAN",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "WO3029",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Massarotti, MD
• Emily Nicole Masse, NONE
• Joshua Masse, PH.D.
• Alison Massed, NP-C
• Ann Marie Massed, CNM
• Barbara A Masser, M.D.
• Marcia Helene Massey-Key, LICSW
• Benjamin R Massey, MD
• Parris Massey
• Paul R Massey, MD

• Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.