DR. SUSAN R BERGER ED.D,
NPI 1912069857
Psychologist in Brookline, MA

Active since December 15, 2006Opted out of Medicare · through Sep 28, 2027
155 SEWALL AVENUE, BROOKLINE, MA 02446(617) 645-9672(617) 277-8638 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Susan R Berger Ed.d, NPPES

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

DR. SUSAN R BERGER ED.D, (NPI 1912069857) is an individual psychologist in Brookline, Massachusetts, licensed in Massachusetts (HSP280) and active in the NPI registry since December 2006. She has opted out of Medicare through September 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912069857
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN R BERGERCredential: ED.D,
Location Address155 SEWALL AVENUEBrookline, MA 02446-5240
Mailing Address155 Sewall AvenueBrookline, MA 02446-5240 · (617) 645-9672 · Fax (617) 277-8638
Fax(617) 277-8638
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 14, 2025
NPI 1912069857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · HSP280
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial WorkerTaxonomy 104100000X · License SW2030272 (MA)
155 SEWALL AVENUE, Brookline, MA 02446

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Susan R Berger Ed.d, 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 September 28, 2019 through September 28, 2027.

Opt-Out Effective DateSeptember 28, 2019
Opt-Out In Effect ThroughSeptember 28, 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.

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 Berger's NPI number?

The NPI number for Susan Berger is 1912069857. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Susan Berger located?

Susan Berger practices at 155 Sewall Avenue, Brookline, MA 02446. The listed phone number is (617) 645-9672.

What is Susan Berger's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Berger enrolled in Medicare?

No. Susan Berger has opted out of Medicare through September 28, 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 Berger was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.