Individual provider Active NPI

Susan Boley, PH.D.

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1487733580
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2224 Issued in CO
Practice address
11 W Dry Creek Cir
Suite 140
Littleton, CO 80120-8077
Phone
(303) 794-7761
Fax
(303) 794-7811
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2224 CO Primary

Addresses

Primary practice location

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

Mailing address

11 W Dry Creek Cir
Suite 140
Littleton, CO 80120-8077
Phone (303) 794-7761

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000456 CO Practitioner - Clinical Psychologist 8123299674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 W Dry Creek Cir
Suite 180
Littleton, CO 80120-4475
Phone (303) 794-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Susan G. Boley, PH.D. P.C. Clinical CurrentSince Jan 1, 2013 Accepting new patients

Locations

11 W Dry Creek Cir
Ste 140
Littleton, CO 80120
Phone (303) 794-7761

26 W Dry Creek Cir
Ste 180
Littleton, CO 80120
Phone (303) 794-7761

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1487733580",
    "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",
            "fax_number": "303-794-7811"
        },
        {
            "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",
            "fax_number": "303-794-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEY",
        "first_name": "SUSAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.