Active NPI
Susan Sczerzenie, PH.D.
- Psychologist
- Andover, MA
National Provider Identifier
1790796613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8536
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8536 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Psychological Associates | Current | 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.
-
- Counseling Psychologist
- Andover, MA
- NPI 1700810025
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.