Active NPI
Zachary Sussman
- Clinical Neuropsychologist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0004443
- 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
- Last updated
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0004443 | CO | Primary |
Addresses
Primary practice location
2501 Walnut St Ste 104
Boulder, CO 80302-5752
Mailing address
2501 Walnut St Ste 104
Boulder, CO 80302-5752
Phone (303) 564-8684
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Charities
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.
-
- Community/Behavioral Health Agency
- Greenwood Village, CO
- NPI 1912315565
-
- Physical Disabilities Residential Treatment Facility
- Colorado Springs, CO
- NPI 1093168478
Locations
2501 Walnut St
Ste 104
Boulder, CO 80302
Phone (303) 200-4780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Denver, CO
- NPI 1679089775
NPI Registry JSON
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": []
}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 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.