Susan Sklover, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4470 Issued in MA

Practice address

12 Russell Rd
Unit 301
Wellesley, MA 02482-4330

Phone

(617) 527-8221

NPI assigned

Mar 29, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Circle Medical Team LLC

  • Internal Medicine Physician
  • Walpole, MA
  • NPI 1942832027
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1740300284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUSSELL RD",
            "address_2": "UNIT 301",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824330",
            "telephone_number": "617-527-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RUSSELL RD",
            "address_2": "UNIT 301",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824330",
            "telephone_number": "617-527-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLOVER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Kwan Sin, RPH
• William Davis Singr, M.D.
• Lilith G. C. Sinha, PSYD, LICSW
• Kenneth L. Sipe, LICSW
• Amanda E Sitren, CCC-SLP
• Sara Elizabeth Skonieczny, LICSW
• Jacob William Slater, PSY.D
• Pamela Maureen Slater, PH.D.
• Smart Smile Dental PLLC
• Anthony Smith

• Clinical Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.