NPIMap

Organization Active NPI

Susan H. Becker, Aprn, BC, PC

  • Psychiatric/Mental Health Registered Nurse
  • Norwood, MA
National Provider Identifier
1962544270
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
119469 Issued in MA
Legal business name
SUSAN H. BECKER, APRN, BC, PC
Practice address
20 Vernon St
2ND Floor
Norwood, MA 02062-2184
Phone
(781) 255-0303
Fax
(781) 255-0356
NPI assigned
Feb 13, 2007
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Susan H. Becker, APRN, BCNPI 1407870439
Title
Advanced Practice Registered Nurse
Phone
(781) 255-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 119469 MA Primary

Addresses

Primary practice location

20 Vernon St
2ND Floor
Norwood, MA 02062-2184

Mailing address

PO Box 1782
North Eastham, MA 02651-1782
Phone (781) 255-0303

Other identifiers 1

IdentifierTypeStateIssuer
1858424MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000804 MA Part B Supplier - Clinic/Group Practice 8820125578 Receives reassigned benefits from 1 practitioner
Practice locations: Norwood, MA

National Provider Directory

National Provider Directory

Locations

1 Walpole St
Ste 6
Norwood, MA 02062
Phone (781) 255-0303

20 Vernon St
Ste 2
Norwood, MA 02062
Phone (781) 255-0303

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1962544270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1782",
            "city": "NORTH EASTHAM",
            "state": "MA",
            "postal_code": "026511782",
            "telephone_number": "781-255-0303",
            "fax_number": "781-255-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VERNON ST",
            "address_2": "2ND FLOOR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622184",
            "telephone_number": "781-255-0303",
            "fax_number": "781-255-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H. BECKER, APRN, BC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "781-255-0303",
        "authorized_official_credential": "APRN, BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "119469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858424",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.