Active NPI
Susan Krauss Whitbourne, PH.D.
- Clinical Psychologist
- Framingham, MA
National Provider Identifier
1790921286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4701
- Practice address
- 125 Mill St
Framingham, MA 01701 - Phone
- (413) 237-4376
- NPI assigned
- Jan 5, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4701 | MA | Primary |
Addresses
Primary practice location
125 Mill St
Framingham, MA 01701
Mailing address
32 Emily LN
Amherst, MA 01002-1581
Phone (413) 549-7670
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4701 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1790921286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 EMILY LN",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021581",
"telephone_number": "413-549-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MILL ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "01701",
"telephone_number": "413-237-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITBOURNE",
"first_name": "SUSAN",
"middle_name": "KRAUSS",
"name_prefix": "Prof.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4701",
"primary": true
}
],
"identifiers": [],
"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 May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.