Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alice Nicole Schruba, PSYD

Individual provider Clinical Psychologist · NPI 1770141319

Dr. Alice Nicole Schruba, PSYD is a Clinical Psychologist in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
9
Licensed in
IL, MA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (817) 371-6202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10000636 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 283207 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071010042 (IL)

Record details

NPI number1770141319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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