Individual provider Active NPI

Susan Hupfer, LICSW

  • Psychologist
  • Chelmsford, MA
National Provider Identifier
1912098427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1020915 Issued in MA
Practice address
9 Acton Road
Suite 24
Chelmsford, MA 01824
Phone
(978) 742-9799
Fax
(508) 486-0082
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

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 1020915 MA Primary

Addresses

Primary practice location

9 Acton Road
Suite 24
Chelmsford, MA 01824

Mailing address

1 David Henry Gardner LN
Southboro, MA 01772
Phone (978) 742-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000745 MA Practitioner - Clinical Social Worker 1850319468 Practice locations: Westborough, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 E Main St
Suite 6
Westborough, MA 01581-1446
Phone (978) 742-9799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912098427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVID HENRY GARDNER LN",
            "city": "SOUTHBORO",
            "state": "MA",
            "postal_code": "01772",
            "telephone_number": "978-742-9799",
            "fax_number": "508-486-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ACTON ROAD",
            "address_2": "SUITE 24",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "01824",
            "telephone_number": "978-742-9799",
            "fax_number": "508-486-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPFER",
        "first_name": "SUSAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "1020915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.