Zachary Sussman

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0004443 Issued in CO

Legal business name

ZACHARY SUSSMAN

Practice address

2501 Walnut St Ste 104
Boulder, CO 80302-5752

Phone

(303) 564-8684

Fax

(303) 443-4682

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Wroe Sussman, PH.D.

Title

Pediatric Neuropsychologist

Phone

(303) 564-8684

Specialties & licenses 1

Addresses

Tax ID family

Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Brookstone Counseling

  • Community/Behavioral Health Agency
  • Greenwood Village, CO
  • NPI 1912315565
  NPD tax ID
• Stanley L. Rapaport, M.D.

  • Physical Disabilities Residential Treatment Facility
  • Colorado Springs, CO
  • NPI 1093168478
  NPD tax ID

Locations

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1720537467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025752",
            "telephone_number": "303-564-8684",
            "fax_number": "303-443-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025752",
            "telephone_number": "303-564-8684",
            "fax_number": "303-443-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY SUSSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "WROE",
        "authorized_official_title_or_position": "PEDIATRIC NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "303-564-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "0004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Joo Heon Yun, PSY.D.
• Elizabeth F Yurth, MD
• Mark Hall Zacharewicz, PH.D.
• Alan Scott Zacharias, M.D.
• Eric Zacharias, M.D.
• Avi-Natan Zadaka, LCSW
• Christine Andrea Zakar, P.A.-C.
• C Zakoian, LPC
• Corey Paul Zalewski, LMT
• Jorge Andres Zambrano Robledo, LPC MA

• Clinical Neuropsychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.