Active NPIIndividual providerSole proprietor

Susan Mascoop, EDD

Clinical Neuropsychologist in Milton, Massachusetts

NPI Number1093863144
Practice location
232 Blue Hill Ave, Milton, MA 02186-1155
Fax
617-323-7301
Last updated
September 11, 2025

Susan Mascoop is a Clinical Neuropsychologist based in Milton, MA. Susan Mascoop practices in Milton, MA and has the professional credentials of EDD. The NPI Number for Susan Mascoop is 1093863144 and holds a License No. 6875 (MA). The current practice location address for Susan Mascoop is 232 Blue Hill Ave, Milton, MA 02186-1155 and can be reached out via phone at 617-696-7236 and via fax at 617-323-7301.

Provider Profile Details

NPI Number
1093863144
Provider Name
Susan Mascoop
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
232 Blue Hill Ave, Milton, MA 02186-1155
Phone Number
617-696-7236
Fax Number
617-323-7301
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
232 Blue Hill Ave
Milton, MA 02186-1155
City
Milton
Zip
02186-1155
Phone Number
617-696-7236
Fax Number
617-323-7301
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
232 Blue Hill Ave
Milton, MA 02186-1155
City
Milton
State
MA
Zip
02186-1155
Phone Number
617-696-7236
Fax Number
617-323-7301

License Information

License Number (1)
6875
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
6875
License State (2)
MA
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
6875
License State (3)
MA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Mascoop, EDD?

The NPI number of Susan Mascoop, EDD is 1093863144. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan Mascoop, EDD?

Susan Mascoop, EDD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 6875.

Where does Susan Mascoop, EDD practice?

The practice location is 232 Blue Hill Ave, Milton, MA 02186-1155. The office can be reached at 617-696-7236 (phone) or 617-323-7301 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093863144 directly on the NPPES registry website.

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