Active NPI
Susan Laurie Jones, PSYD
- Psychologist
- Boulder, CO
National Provider Identifier
1205926631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1679
- Practice address
- 2955 Valmont Rd.
Ste. 230
Boulder, CO 80301 - Phone
- (303) 448-4915
- Fax
- (303) 444-2372
- NPI assigned
- Oct 14, 2006
- 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 | 1679 | CO | Primary |
Addresses
Primary practice location
2955 Valmont Rd.
Ste. 230
Boulder, CO 80301
Mailing address
1750 30TH St
#139
Boulder, CO 80301-1029
Phone (303) 448-4915
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2955 Valmont Rd
Suite 230
Boulder, CO 80301-1360
Phone (303) 448-4915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1679 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Services Corporation | Psychologist | Current | Accepting new patients |
Locations
1750 30th St
Boulder, CO 80301
1750 30th St
#139
Boulder, CO 80301
2955 Valmont Rd
Ste 230
Boulder, CO 80301
Phone (303) 448-4915
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
- Boulder, CO
- NPI 1194930396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1205926631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 30TH ST",
"address_2": "#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": {
"last_name": "JONES",
"first_name": "SUSAN",
"middle_name": "LAURIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.