Suzanne Carol Armstrong, LICSW LADCI

Individual provider Active NPI Psychologist · Lawrence, MA

NPI 1952460107 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1952460107
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
1031635 (MA)
Practice address
60 Island Street
Lawrence, MA 01840
Phone
(978) 687-3700
Fax
(425) 928-2856
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2024 through Feb 26, 2028

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1031635MAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1031635 MA Yes

Addresses

Primary practice location

60 Island Street
Lawrence, MA 01840

Mailing address

350 Greene St
#211
North Andover, MA 01845
Phone (978) 683-0614

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952460107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GREENE ST",
            "address_2": "#211",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-683-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ISLAND STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-687-3700",
            "fax_number": "425-928-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "SUZANNE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LICSW LADCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "1031635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

All providers in Lawrence, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.