Active NPI
Susan R Berger, ED.D,
- Psychologist
- Brookline, MA
National Provider Identifier
1912069857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- HSP280
- Practice address
- 155 Sewall Avenue
Brookline, MA 02446-5240 - Phone
- (617) 645-9672
- Fax
- (617) 277-8638
- NPI assigned
- Dec 15, 2006
- Last updated
- Apr 14, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | HSP280 | MA | Primary |
| Social Worker | 104100000X | SW2030272 | MA |
Addresses
Primary practice location
155 Sewall Avenue
Brookline, MA 02446-5240
Mailing address
155 Sewall Avenue
Brookline, MA 02446-5240
Phone (617) 645-9672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 28, 2019 through Sep 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSP280 | MA | MD | Psychologist |
| SW2030272 | MA | MD | Social Worker |
| 280 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1912069857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SEWALL AVENUE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465240",
"telephone_number": "617-645-9672",
"fax_number": "617-277-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SEWALL AVENUE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465240",
"telephone_number": "617-645-9672",
"fax_number": "617-277-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "ED.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "HSP280",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "SW2030272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.