Susan Wilson, ED.D.
NPI 1417061730 · Clinical Child & Adolescent Psychologist · Quincy, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Wilson, ED.D. is a Clinical Child & Adolescent Psychologist provider in Quincy, MA (NPI 1417061730).
Provider details
- NPI number
- 1417061730
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 7554 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susan Wilson's NPI number?
- Susan Wilson's National Provider Identifier (NPI) is 1417061730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Wilson's specialty?
- Susan Wilson is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Susan Wilson located?
- Susan Wilson's practice location on file with NPPES is 460 Quincy Ave, Quincy, MA 02169-8130.
- What is Susan Wilson's phone number?
- The practice phone number listed in the NPPES registry for Susan Wilson is (617) 774-6070.
- Does Susan Wilson accept Medicare?
- Susan Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Wilson's NPI active?
- Yes — Susan Wilson's NPI (1417061730) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.