DR. SUSAN R. SHNIDMAN (PH.D.) – Psychologist, NPI 1689659500

DR. SUSAN R. SHNIDMAN (PH.D.) is a healthcare provider. based in Lexington, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 721 (MA). The NPI Number for DR. SUSAN R. SHNIDMAN (PH.D.) is 1689659500

Main info

Female
60 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN R. SHNIDMAN (PH.D.)
NPI
1689659500
Phone
(781) 861-9132
Address
11 SOMERSET RD
Enumeration Date
13 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818619132
Graduation Year
1966 (60 years ago)
PAC ID
4082802392
Professional Enrollment ID
I20101230000034
Address ID
MA024203519LE11XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. SUSAN R. SHNIDMAN (PH.D.)

  • 11, Somerset Road, Lexington, Middlesex County, Massachusetts, 02420, United States

    LEXINGTON, MA 024203519

    Phone: (781) 861-9132

    Type: Mailing

  • 50, Rowe Street, Wyoming, Melrose, Middlesex County, Massachusetts, 02176, United States

    MELROSE MEDICAL CENTER, #700

    MELROSE, MA 021763201

    Phone: (781) 662-4380

    Fax: (781) 665-4795

    Type: Location

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: 2010-12-30

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
I20101230000034IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour68641$0
View full utilization report →

Insurance plans in this area (ZIP 02420)

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Reviews

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Frequently asked questions

Can I verify DR. SUSAN R. SHNIDMAN (PH.D.) with an NPI only?
You can start verification with NPI 1689659500 for DR. SUSAN R. SHNIDMAN (PH.D.), then check state licensing separately.
Is DR. SUSAN R. SHNIDMAN (PH.D.) listed as active for patients and plans?
The listing shows DR. SUSAN R. SHNIDMAN (PH.D.) as active in the NPI system.
What taxonomy line describes DR. SUSAN R. SHNIDMAN (PH.D.)?
For research purposes, treat DR. SUSAN R. SHNIDMAN (PH.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. SUSAN R. SHNIDMAN (PH.D.) serve?
DR. SUSAN R. SHNIDMAN (PH.D.)'s listing highlights Lexington, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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