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DR. SUCHETA THEKKEDAM PH.D.
NPI 1639429897
Psychologist - Clinical in Boston, MA

Active since September 14, 2012PECOS Enrolled
85 E NEWTON ST, 912, BOSTON, MA 02118(617) 414-4646 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sucheta Thekkedam Ph.d. NPPES

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

DR. SUCHETA THEKKEDAM PH.D. (NPI 1639429897) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (10481) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639429897
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUCHETA THEKKEDAMCredential: PH.D.
Location Address85 E NEWTON ST, 912Boston, MA 02118-2340
Mailing Address780 American Legion HwyBoston, MA 02131-3908
Phone(617) 414-4646
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
Last NPPES UpdateMay 16, 2017
✔ NPI 1639429897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 10481
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
85 E NEWTON ST, Boston, MA 02118
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sucheta Thekkedam Ph.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.

Medicare Billing Reassignment

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

Ssm Cardinal Glennon Childrens Hospital
1,023 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120

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 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.

VICTORIA COOPER NP
Nurse Practitioner (Family)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 636-1752
ABIGAIL SMITH LICSW
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8916
SOPHIA CHIN LICSW
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8791
LINDSEY WILDER MED
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8013
AUDREY ELIZABETH ANDRUS
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
JOHN GRAHAM
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8943
MARIANNE WARWICK
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 414-8336
TEMPLE WORRELL M.A.
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 414-8336

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 Sucheta Thekkedam's NPI number?

The NPI number for Sucheta Thekkedam is 1639429897. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Sucheta Thekkedam located?

Sucheta Thekkedam practices at 85 E Newton St 912, Boston, MA 02118. The listed phone number is (617) 414-4646.

What is Sucheta Thekkedam's specialty?

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

Is Sucheta Thekkedam enrolled in Medicare?

Yes. Sucheta Thekkedam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sucheta Thekkedam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sucheta Thekkedam reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL). 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 Sucheta Thekkedam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sucheta Thekkedam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Sucheta Thekkedam 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 Sucheta Thekkedam was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.