Active NPI
Susan J Fahlund, PSY.D.
- Clinical Psychologist
- Framingham, MA
National Provider Identifier
1750448213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4074
- Practice address
- 281 Pleasant St
Framingham, MA 01701-4778 - Phone
- (508) 872-4051
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 4074 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4074 | MA | |
| Clinical Psychologist | 103TC0700X | 4074 | MA | Primary |
| Counseling Psychologist | 103TC1900X | 4074 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4074 | MA | |
| Psychologist | 103T00000X | 4074 | MA |
Addresses
Primary practice location
281 Pleasant St
Framingham, MA 01701-4778
Mailing address
43 Whispering Brook Rd
Marlborough, MA 01752-6079
Phone (508) 875-1386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03989 | Other | MA | CLINICAL PSYCHOLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4074 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1750448213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHISPERING BROOK RD",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017526079",
"telephone_number": "508-875-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 PLEASANT ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017014778",
"telephone_number": "508-872-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHLUND",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "4074",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "4074",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4074",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "4074",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "4074",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4074",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL PSYCHOLOGIST",
"identifier": "W03989",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.