SUSAN CHMIEL CLANCY (PH.D.) – Psychologist, NPI 1346587219

SUSAN CHMIEL CLANCY (PH.D.) is a healthcare provider. based in Plymouth, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6729 (MA). The NPI Number for SUSAN CHMIEL CLANCY (PH.D.) is 1346587219

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN CHMIEL CLANCY (PH.D.)
NPI
1346587219
Phone
(508) 747-2718
Address
232 COURT ST
Enumeration Date
11 January 2013
Last Update Date
11 January 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
5087472718
Graduation Year
1993 (33 years ago)
PAC ID
6204076342
Group Practice PAC ID
8628171501
Professional Enrollment ID
I20130712000395
Address ID
MA023604322PL323XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for SUSAN CHMIEL CLANCY (PH.D.)

  • 232 COURT ST

    PLYMOUTH, MA 023604037

    Phone: (508) 747-2718

    Fax: (508) 747-5209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130712000395IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628171501View full group profile
NameSpecialtyState
Clinical Social WorkerMA
-MA
-MA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
P S Y C H I A T R YMA
-MA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SUSAN CHMIEL CLANCY (PH.D.)?
SUSAN CHMIEL CLANCY (PH.D.) — NPI 1346587219 — is the standard way to identify this listing.
Is SUSAN CHMIEL CLANCY (PH.D.) listed as active for patients and plans?
The listing shows SUSAN CHMIEL CLANCY (PH.D.) as active in the NPI system.
What healthcare role does SUSAN CHMIEL CLANCY (PH.D.) hold?
Scheduling teams often label SUSAN CHMIEL CLANCY (PH.D.) under Psychologist. Clinical services aligned with this taxonomy classification.
What area does SUSAN CHMIEL CLANCY (PH.D.) serve?
SUSAN CHMIEL CLANCY (PH.D.)'s listing highlights Plymouth, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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