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SUSANNA BARRY
NPI 1407445034
Psychologist - Clinical in Roslindale, MA

Active since January 18, 2021Opted out of Medicare · through Aug 1, 2028
15 LESHER ST, ROSLINDALE, MA 02131(617) 852-1108 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susanna Barry NPPES

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

SUSANNA BARRY (NPI 1407445034) is an individual clinical provider in Roslindale, Massachusetts, licensed in Massachusetts (11384) and active in the NPI registry since January 2021. She has opted out of Medicare through August 1, 2028.

NPPES Registry Identity

NPI1407445034
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSUSANNA BARRY
Location Address15 LESHER STRoslindale, MA 02131-1107
Mailing Address15 Lesher StRoslindale, MA 02131-1107 · (617) 852-1108
Phone(617) 852-1108
Sole ProprietorYes
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1407445034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 11384
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.
15 LESHER ST, Roslindale, MA 02131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susanna Barry has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2024 through August 1, 2028.

Opt-Out Effective DateAugust 1, 2024
Opt-Out In Effect ThroughAugust 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Susanna Barry's NPI number?

The NPI number for Susanna Barry is 1407445034. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Susanna Barry located?

Susanna Barry practices at 15 Lesher St, Roslindale, MA 02131. The listed phone number is (617) 852-1108.

What is Susanna Barry's specialty?

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

Is Susanna Barry enrolled in Medicare?

No. Susanna Barry has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susanna Barry was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.