Individual provider Active NPI

Susan Sczerzenie, PH.D.

  • Psychologist
  • Andover, MA
National Provider Identifier
1790796613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8536 Issued in MA
Practice address
3 Dundee Park Dr
Suite 203
Andover, MA 01810-3723
Phone
(978) 475-3590
Fax
(978) 475-7620
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8536 MA Primary

Addresses

Primary practice location

3 Dundee Park Dr
Suite 203
Andover, MA 01810-3723

Mailing address

29 Brown St
Waltham, MA 02453-3913
Phone (774) 230-1137

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8536MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
General Psychological Associates CurrentSince Jun 8, 2012 Accepting new patients

Locations

3 Dundee Park Dr
Ste 203
Andover, MA 01810
Phone (978) 296-5595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790796613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROWN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533913",
            "telephone_number": "774-230-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNDEE PARK DR",
            "address_2": "SUITE 203",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103723",
            "telephone_number": "978-475-3590",
            "fax_number": "978-475-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCZERZENIE",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

  • 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.