Individual provider Active NPI

Lynn Susan Margolies, PH.D.

  • Psychologist
  • Newton, MA
National Provider Identifier
1922250448
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4978 Issued in MA
Practice address
53 Langley Rd
Newton, MA 02459-1913
Phone
(617) 244-2444
Fax
(781) 235-6355
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4978 MA Primary

Addresses

Primary practice location

53 Langley Rd
Newton, MA 02459-1913

Mailing address

75 Madison Ave
Newton, MA 02460-1904
Phone (617) 244-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 2, 2022 through Sep 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4978MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1922250448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MADISON AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601904",
            "telephone_number": "617-244-2444",
            "fax_number": "617-964-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-244-2444",
            "fax_number": "781-235-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIES",
        "first_name": "LYNN",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.