SUSAN H PHILLIPS PHD
NPI 1902952450
Psychologist - Clinical Child & Adolescent in Brookline, MA

Active since January 26, 2007Opted out of Medicare · through Mar 30, 2027
1101 BEACON ST, SUITE 7E A, BROOKLINE, MA 02446(617) 566-4099 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan H Phillips Phd NPPES

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

SUSAN H PHILLIPS PHD (NPI 1902952450) is an individual clinical child & adolescent provider in Brookline, Massachusetts, licensed in Massachusetts (4730) and active in the NPI registry since January 2007. She has opted out of Medicare through March 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902952450
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameSUSAN H PHILLIPSCredential: PHD
Location Address1101 BEACON ST, SUITE 7E ABrookline, MA 02446
Mailing Address1101 Beacon St, Suite 7e ABrookline, MA 02446 · (617) 566-4099
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1902952450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in MA · 4730
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.

Also ListedPsychologistTaxonomy 103T00000X · License 4730 (MA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4730 (MA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Susan H Phillips Phd 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 March 30, 2019 through March 30, 2027.

Opt-Out Effective DateMarch 30, 2019
Opt-Out In Effect ThroughMarch 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychologist (Clinical)
1101 BEACON ST, SUITE TWO EAST
BROOKLINE, MA 02446
Specialist
1101 BEACON ST, SUITE 1E
BROOKLINE, MA 02446
Internal Medicine
1101 BEACON ST
BROOKLINE, MA 02446
Social Worker (Clinical)
1101 BEACON ST
BROOKLINE, MA 02446
Psychologist (Clinical)
1101 BEACON ST
BROOKLINE, MA 02446
Social Worker (Clinical)
1101 BEACON ST, 5 WEST
BROOKLINE, MA 02446
Dietitian, Registered
1101 BEACON ST, SUITE 4W
BROOKLINE, MA 02446
Internal Medicine
1101 BEACON ST
BROOKLINE, MA 02446

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 Phillips's NPI number?

The NPI number for Susan Phillips is 1902952450. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Susan Phillips located?

Susan Phillips practices at 1101 Beacon St Suite 7E A, Brookline, MA 02446. The listed phone number is (617) 566-4099.

What is Susan Phillips's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Susan Phillips enrolled in Medicare?

No. Susan Phillips has opted out of Medicare through March 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Phillips was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.