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SUSAN BALABAN
NPI 1447616834
Psychologist - Clinical in Brattleboro, VT

Active since January 14, 2016PECOS Enrolled
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302(802) 257-7785(802) 258-3723 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Balaban NPPES

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

SUSAN BALABAN (NPI 1447616834) is an individual clinical provider in Brattleboro, Vermont, licensed in Vermont (048-0110612) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2013).

NPPES Registry Identity

NPI1447616834
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSUSAN BALABAN
Location Address1 ANNA MARSH LANEBrattleboro, VT 05302-0101
Mailing Address1 Anna Marsh LaneBrattleboro, VT 05302-0101 · (802) 257-7785 · Fax (802) 258-3723
Phone(802) 257-7785
Fax(802) 258-3723
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2013
Enumeration DateJanuary 14, 2016
✔ NPI 1447616834 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 VT · 048-0110612
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.
1 ANNA MARSH LANE, Brattleboro, VT 05302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Balaban is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668777129
PECOS Enrollment IDI20170411001710
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Balaban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brattleboro Retreat
Same address
Psychiatric Hospital
22 ANNA MARSH LANE
Brattleboro, VT 05302
  • Reassigned Medicare billing, Vermont enrollment
  • 110 clinicians in this Medicare group
NPI 1730185232 (802) 257-7785

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05302 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

MRS. CAROLINE LEE HENDERSON MSW
Social Worker (Clinical)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 257-7785
TIMOTHY LAROSA MD
Psychiatry & Neurology (Psychiatry)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 258-3707
GINA VICTORIA PEARCE LCMHC, LADC
Counselor (Mental Health)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 258-6127
MR. SCOTT DAVID ROBINSON CNP
Nurse Practitioner (Psychiatric/Mental Health)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 258-6796
CHRISTOPHER SNOW PA
Physician Assistant
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 257-7785
MRS. SUSAN HARRIS RPH
Pharmacist
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 257-7785
ALLISON D NADEAU LADC, LCMHC
Counselor (Addiction (Substance Use Disorder))
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 257-7785
JESSICA TAMULONIS PH.D.
Psychologist (Counseling)
1 ANNA MARSH LANE
BRATTLEBORO, VT 05302
Windham County (802) 275-3165

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 Susan Balaban's NPI number?

The NPI number for Susan Balaban is 1447616834. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Susan Balaban located?

Susan Balaban practices at 1 Anna Marsh Lane, Brattleboro, VT 05302. The listed phone number is (802) 257-7785.

What is Susan Balaban's specialty?

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

Is Susan Balaban enrolled in Medicare?

Yes. Susan Balaban is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Balaban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Balaban reassigns Medicare benefits to Brattleboro Retreat (Brattleboro, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Balaban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Balaban accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Balaban as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Balaban was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.