DR. SUSAN RUE WILSON ED.D.
NPI 1417061730
Psychologist - Clinical Child & Adolescent in Quincy, MA

Active since August 17, 2006PECOS Enrolled
460 QUINCY AVE, QUINCY, MA 02169(617) 774-6070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Susan Rue Wilson Ed.d. NPPES

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

DR. SUSAN RUE WILSON ED.D. (NPI 1417061730) is an individual clinical child & adolescent provider in Quincy, Massachusetts, licensed in Massachusetts (7554) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417061730
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. SUSAN RUE WILSONCredential: ED.D.
Location Address460 QUINCY AVEQuincy, MA 02169-8130
Mailing Address460 Quincy AveQuincy, MA 02169-8130 · (617) 774-6070
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417061730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in MA · 7554
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

460 QUINCY AVE, Quincy, MA 02169

Other Identifiers 1

Medicare ID-Type UnspecifiedWI W51158MA · Clinical Psychologist

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. Susan Rue Wilson Ed.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatric Hospital
460 QUINCY AVE
QUINCY, MA 02169
Psychiatry & Neurology (Psychiatry)
460 QUINCY AVE, INPATIENT UNIT
QUINCY, MA 02169
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
460 QUINCY AVE
QUINCY, MA 02169
Psychiatry & Neurology (Psychiatry)
460 QUINCY AVE
QUINCY, MA 02169
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
460 QUINCY AVE
QUINCY, MA 02169
Social Worker (Clinical)
460 QUINCY AVE
QUINCY, MA 02169
Social Worker (Clinical)
460 QUINCY AVE
QUINCY, MA 02169
Social Worker (Clinical)
460 QUINCY AVE
QUINCY, MA 02169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417061730, enumerated as an "individual" on August 17, 2006.

The provider is located at 460 QUINCY AVE QUINCY, MA 02169 and the phone number is (617) 774-6070.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.