DR. PREETI SUNDERARAMAN PHD
NPI 1083388771
Psychologist - Clinical in Boston, MA

Q: What is Preeti Sunderaraman's NPI number?

The NPI number for Preeti Sunderaraman is 1083388771. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Preeti Sunderaraman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 05, 2021PECOS Enrolled

72 E CONCORD ST, BOSTON, MA 02118(917) 584-8024 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Aug 5, 2021 (2 updates tracked since 2021).

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About Dr. Preeti Sunderaraman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PREETI SUNDERARAMAN PHD (NPI 1083388771) is an individual clinical provider in Boston, Massachusetts, licensed in Rhode Island (PS02377) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083388771

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PREETI SUNDERARAMANCredential: PHD

Location Address72 E CONCORD STBoston, MA 02118-2642

Mailing Address1 Repton Pl Unit 1201Watertown, MA 02472-2484 · (917) 584-8024

Phone(917) 584-8024

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 5, 2021

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1083388771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in RI · PS02377✔ Licensed in NY · 022915-01

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

72 E CONCORD ST, Boston, MA 02118

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Secondary Practice Location 1

Location 1345 Blackstone Blvd Ste 1Providence, RI 02906-4800 · Phone (401) 455-6402 · Fax (401) 455-6405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Preeti Sunderaraman Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385149665

PECOS Enrollment IDI20250926001254

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DENISE M LAUTENBACH M.S.

Genetic Counselor, MS

72 E CONCORD ST, B-7800
BOSTON, MA 02118

Suffolk County (617) 638-5355

DANIELLE LYNN LAFOND

Student in an Organized Health Care Education/Training Program

72 E CONCORD ST, EVANS 124
BOSTON, MA 02118

Suffolk County (617) 414-5951

NICOLE MUSHERO

Internal Medicine (Geriatric Medicine)

72 E CONCORD ST, ROBINSON 2
BOSTON, MA 02118

Suffolk County (617) 638-6100

DR. CHARLES MILROD MD

Internal Medicine

72 E CONCORD ST
BOSTON, MA 02118

Suffolk County (617) 638-6500

SAMANTHA HAYES PEREZ MENENDEZ

Student in an Organized Health Care Education/Training Program

72 E CONCORD ST
BOSTON, MA 02118

Suffolk County (617) 638-8442

TYLER A HARKNESS

Student in an Organized Health Care Education/Training Program

72 E CONCORD ST, EVANS 124
BOSTON, MA 02118

Suffolk County (617) 638-6500

CATHERINE SUTTON

Student in an Organized Health Care Education/Training Program

72 E CONCORD ST
BOSTON, MA 02118

Suffolk County (617) 358-4000

BOSTON MEDICAL CENTER

General Acute Care Hospital

72 E CONCORD ST
BOSTON, MA 02118

Suffolk County (617) 638-9004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preeti Sunderaraman's NPI number?

The NPI number for Preeti Sunderaraman is 1083388771. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Preeti Sunderaraman located?

Preeti Sunderaraman practices at 72 E Concord St, Boston, MA 02118. The listed phone number is (917) 584-8024.

What is Preeti Sunderaraman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Preeti Sunderaraman enrolled in Medicare?

Yes. Preeti Sunderaraman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Preeti Sunderaraman was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.