Active NPI
Soo-Yeon Dawson
- Psychologist
- Parker, CO
National Provider Identifier
1184274367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 19590 E Mainstreet Ste 202
Parker, CO 80138-7371 - Phone
- (720) 805-8060
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
19590 E Mainstreet Ste 202
Parker, CO 80138-7371
Mailing address
19590 E Mainstreet Ste 202
Parker, CO 80138-7371
Phone (720) 805-8060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416003413 | CO | Practitioner - Clinical Psychologist | 3870018344 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 Front St
Suite 300
Jupiter, FL 33477-5095
244 Madison Ave
New York, NY 10016-2819
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1184274367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19590 E MAINSTREET STE 202",
"city": "PARKER",
"state": "CO",
"postal_code": "801387371",
"telephone_number": "720-805-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19590 E MAINSTREET STE 202",
"city": "PARKER",
"state": "CO",
"postal_code": "801387371",
"telephone_number": "720-805-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "SOO-YEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.