DR. SUSANNAH KONDRATH PHD
NPI 1952927675
Psychologist - Clinical in Providence, RI

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susannah Kondrath Phd NPPES

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

DR. SUSANNAH KONDRATH PHD (NPI 1952927675) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01867) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952927675
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSANNAH KONDRATHCredential: PHD
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address11 Eagle St Unit 222Providence, RI 02908-5642 · (781) 710-1468
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
NPI 1952927675 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 RI · PS01867
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.
830 CHALKSTONE AVE, Providence, RI 02908

Accepted 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

Dr. Susannah Kondrath Phd 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 ID8426554452
PECOS Enrollment IDI20250930001431
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Pharmacist (Pharmacotherapy)
830 CHALKSTONE AVE, 119
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Susannah Kondrath's NPI number?

The NPI number for Susannah Kondrath is 1952927675. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Susannah Kondrath located?

Susannah Kondrath practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Susannah Kondrath's specialty?

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

Is Susannah Kondrath enrolled in Medicare?

Yes. Susannah Kondrath 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 Susannah Kondrath accept?

Health plans from Harvard Pilgrim Health Care list Susannah Kondrath 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 Susannah Kondrath was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.