Active NPI
Susan Kitchens, PH.D.
- Psychologist
- Fort Collins, CO
National Provider Identifier
1033232285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2675
- Practice address
- 323 W Drake Rd
Suite 124
Fort Collins, CO 80526-8115 - Phone
- (970) 495-4686
- Fax
- (970) 377-1230
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2675 | CO | Primary |
Addresses
Primary practice location
323 W Drake Rd
Suite 124
Fort Collins, CO 80526-8115
Mailing address
323 W Drake Rd
Suite 124
Fort Collins, CO 80526-8115
Phone (970) 495-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Susan Kitchens, PHD, LLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Fort Collins, CO
- NPI 1386406429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033232285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W DRAKE RD",
"address_2": "SUITE 124",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805268115",
"telephone_number": "970-495-4686",
"fax_number": "970-377-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W DRAKE RD",
"address_2": "SUITE 124",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805268115",
"telephone_number": "970-495-4686",
"fax_number": "970-377-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.