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SUMI DOLBEN NP
NPI 1487947255
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Newton, MA

Active since May 26, 2011PECOS EnrolledAccepts Medicare Assignment
10 LANGLEY RD, SUITE 300, NEWTON, MA 02459(800) 370-3651(860) 510-0020 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sumi Dolben Np NPPES

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

SUMI DOLBEN NP (NPI 1487947255) is an individual psychiatric/mental health, adult provider in Newton, Massachusetts, licensed in Massachusetts (RN276106) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487947255
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameSUMI DOLBENCredential: NP
Location Address10 LANGLEY RD, SUITE 300Newton, MA 02459-1972
Mailing Address20 Research PkwyOld Saybrook, CT 06475-4214 · (800) 370-3651 · Fax (860) 510-0020
Phone(800) 370-3651
Fax(860) 510-0020
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 26, 2011
✔ NPI 1487947255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in MA · RN276106
10 LANGLEY RD, Newton, MA 02459
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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, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumi Dolben Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193994531
PECOS Enrollment IDI20180716000971
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
131 services121 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02459 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

KATHERINE D MANNERS M.ED, LMFT
Marriage & Family Therapist
10 LANGLEY RD, SUITE 200
NEWTON CENTRE, MA 02459
Middlesex County (617) 527-4128
CHATTERBOXES, LLC
Clinic/Center (Hearing and Speech)
10 LANGLEY RD, SUITE 305
NEWTON CENTRE, MA 02459
Middlesex County (617) 251-4091
DR. JAMES PETER STEWART DPM
Podiatrist
10 LANGLEY RD, STE 201
NEWTON CENTRE, MA 02459
Middlesex County (617) 527-8186
HEATHER WOLFF M.A., CCC-SLP
Speech-Language Pathologist
10 LANGLEY RD, SUITE 305
NEWTON, MA 02459
Middlesex County (617) 969-8255
ELEANOR B. PARADISE PH.D.
Psychologist (Clinical)
10 LANGLEY RD, SUITE 401
NEWTON CENTRE, MA 02459
Middlesex County (617) 969-7876
DR. REBECCA S. KORNBLATT PSY.D.
Psychologist (Clinical)
10 LANGLEY RD, SUITE 200
NEWTON, MA 02459
Middlesex County (617) 615-6525
DR. DORIS A. Q. FORTEITH PSY.D.
Psychologist
10 LANGLEY RD, SUITE 401
NEWTON CENTRE, MA 02459
Middlesex County (617) 686-5245
JOYCE MENDEL M.D.
Psychiatry & Neurology (Psychiatry)
10 LANGLEY RD, SUITE 304
NEWTON CENTRE, MA 02459
Middlesex County (617) 332-7400

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 Sumi Dolben's NPI number?

The NPI number for Sumi Dolben is 1487947255. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Sumi Dolben located?

Sumi Dolben practices at 10 Langley Rd Suite 300, Newton, MA 02459. The listed phone number is (800) 370-3651.

What is Sumi Dolben's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Sumi Dolben enrolled in Medicare?

Yes. Sumi Dolben is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sumi Dolben accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sumi Dolben 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 Sumi Dolben was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.