Suzanne Joy Goudzwaard, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0003955 Issued in CO

Practice address

106 Lorey Dr
Grand Junction, CO 81505-7032

Phone

(970) 245-3212

Fax

(970) 245-3216

NPI assigned

Sep 12, 2011

Last updated

Dec 22, 2021By the provider in NPPES

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

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Courage Psychological Services IncGroup PAC ID 6406111426, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Courage Psychological Services, Inc.

  • Clinical Psychologist
  • Grand JCT, CO
  • NPI 1568976900
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1700168184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 I 70 BUSINESS LOOP STE B5",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018002",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LOREY DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815057032",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 I 70 Business Loop Ste B5",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018002",
            "country_code": "US",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDZWAARD",
        "first_name": "SUZANNE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hope Gordon, MSW, CSWC
• Peggy Lee Gordon
• Gabriella Gorrino
• Maryann Gosling, RN
• Jack Rahman Gothier, DDS
• Kristina Goutsouliak, MD
• Storm Gozzola
• Kathleen Grace, MA LPC CACII
• Amber Lynn Gracey, R.D.H
• Terrill A Graden, RDH

• Clinical Psychologist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.

Verify at the official NPI Registry.