Susan Bromley, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1086 Issued in CO

Practice address

1015 37TH Avenue CT
Suite 102
Greeley, CO 80634-2565

Phone

(970) 352-8630

Fax

(970) 352-1945

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susan P. Bromley PSYD LLC

  • Clinical Psychologist
  • Greeley, CO
  • NPI 1790035830
  NPD (past) Authorized official
• Joyce Shohet Ackerman, Edd., P.C.

  • Counseling Psychologist
  • Greeley, CO
  • NPI 1245442656
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1538139191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 37TH AVENUE CT",
            "address_2": "SUITE 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342565",
            "telephone_number": "970-352-6830",
            "fax_number": "970-352-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 37TH AVENUE CT",
            "address_2": "SUITE 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342565",
            "telephone_number": "970-352-8630",
            "fax_number": "970-352-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMLEY",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa J Brock-Moore
• Kathryn A Brockman, LPC
• Abigail Brodeur, PA-C
• Zachary Dillon Brodie, DO
• Donna M Brogmus, MD
• Judd Bronson, D.C.
• Lynne Bronson, D.C.
• Brookdale Senior Living Communities, Inc.
• Jennifer Lee Brooks, LCSW
• Lauren Brooks, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.