Active NPI
Susan Dees, PSYD
- Psychologist
- Cortez, CO
National Provider Identifier
1730166315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2353
- Practice address
- 24000 Road L
Cortez, CO 81321-8806 - Phone
- (970) 565-7588
- Fax
- (970) 565-7588
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 658 | NM | |
| Psychologist | 103T00000X | 2353 | CO | Primary |
Addresses
Primary practice location
24000 Road L
Cortez, CO 81321-8806
Mailing address
24000 Road L
Cortez, CO 81321-8806
Phone (970) 565-7588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70902 | Medicaid | NM | |
| 14378264 | Medicaid | CO | |
| 486888 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658 | NM | MD | Specialist |
| 2353 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1730166315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24000 ROAD L",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813218806",
"telephone_number": "970-565-7588",
"fax_number": "970-565-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24000 ROAD L",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813218806",
"telephone_number": "970-565-7588",
"fax_number": "970-565-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEES",
"first_name": "SUSAN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "658",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70902",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14378264",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "486888",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.