MS. ELIZABETH M SOUFFRONT (PHD) – Clinical Psychologist, NPI 1720029085

MS. ELIZABETH M SOUFFRONT (PHD) is a healthcare provider. based in Quincy, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 7646 (MA). The NPI Number for MS. ELIZABETH M SOUFFRONT (PHD) is 1720029085

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH M SOUFFRONT (PHD)
NPI
1720029085
Phone
(617) 774-0331
Address
1400 HANCOCK ST FL 2
Enumeration Date
9 June 2006
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177740331
Graduation Year
1986 (40 years ago)
PAC ID
3577575067
Professional Enrollment ID
I20060627000307
Address ID
MA021690907QU300XXSTXX317
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for MS. ELIZABETH M SOUFFRONT (PHD)

  • 1400 HANCOCK ST FL 2

    QUINCY, MA 021695233

    Phone: (617) 774-0331

    Fax: (617) 774-0336

    Type: Location

  • 100, Ledgewood Place, Ledgewood Place Office Park, Rockland, Plymouth County, Massachusetts, 02046, United States

    SUITE 202

    ROCKLAND, MA 023701075

    Phone: (781) 871-6550

    Fax: (781) 871-5973

    Type: Location

  • 37, Phipps Street, South Quincy, Quincy, Norfolk County, Massachusetts, 02169, United States

    QUINCY, MA 021696625

    Phone: (617) 479-0520

    Type: Mailing

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: 2006-06-27

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
I20060627000307IClinical 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 02169)

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Reviews

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Frequently asked questions

Where can patients find MS. ELIZABETH M SOUFFRONT (PHD)'s NPI?
You can confirm MS. ELIZABETH M SOUFFRONT (PHD) with NPI 1720029085; it appears in the national provider directory.
Is MS. ELIZABETH M SOUFFRONT (PHD) currently active in the NPI registry?
CMS-published data lists MS. ELIZABETH M SOUFFRONT (PHD) as an active registrant.
What does MS. ELIZABETH M SOUFFRONT (PHD) treat or focus on?
Patients typically see MS. ELIZABETH M SOUFFRONT (PHD) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for MS. ELIZABETH M SOUFFRONT (PHD)?
We surface Quincy, Massachusetts for MS. ELIZABETH M SOUFFRONT (PHD) based on available NPPES addresses.
Is MS. ELIZABETH M SOUFFRONT (PHD) a real provider?
This page reflects official NPPES data for NPI 1720029085. Always confirm identity and privileges with the practice and licensing boards.

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