Psychological Services Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1679 Issued in CO

Legal business name

PSYCHOLOGICAL SERVICES CORPORATION

Practice address

2955 Valmont Rd
Ste 230
Boulder, CO 80301

Phone

(303) 448-4915

Fax

(303) 444-2372

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Susan Laurie Jones, PSYDNPI 1205926631

Title

Owner

Phone

(303) 448-4915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Laurie Jones, PSYD

  • Psychologist
  • Boulder, CO
  • NPI 1205926631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1194930396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 30TH ST",
            "address_2": "PMB 139",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011029",
            "telephone_number": "303-448-4915",
            "fax_number": "303-444-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD",
            "address_2": "STE 230",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "303-448-4915",
            "fax_number": "303-444-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-448-4915",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavyn Eugene Prsha
• Elizabeth Prudlo
• Andrew L Pruitt, P.A.
• Melissa Pruitt
• Charlotte Inez Psaila
• Psychological Services, P.C.
• Travis Ptomey, DC
• Tara K Puccio, PT
• Susan Puckett, P.A.
• Katrina Puente

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.