Susan G. Boley, PH.D. P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2224 Issued in CO

Legal business name

SUSAN G. BOLEY, PH.D. P.C.

Practice address

11 W Dry Creek Cir
Suite 140
Littleton, CO 80120-8077

Phone

(303) 794-7761

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Boley, PH.D.NPI 1487733580

Title

Director

Phone

(303) 794-7761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Boley, PH.D.

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1487733580
  Medicare reassignment NPD Authorized official
• Ching-Yen Godwin, PH.D., NCSP

  • Psychologist
  • Littleton, CO
  • NPI 1235462318
  NPD
• Julie Lyn Hill VI, PH.D.

  • Cognitive & Behavioral Psychologist
  • Saint Louis, MO
  • NPI 1427112838
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1023354057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CIR",
            "address_2": "SUITE 140",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208077",
            "telephone_number": "303-794-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CIR",
            "address_2": "SUITE 140",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208077",
            "telephone_number": "303-794-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN G. BOLEY, PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BOLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-794-7761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Stuart Swanson, MD

• Clinical Psychologist in Littleton, CO
• Providers in Littleton, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.