Active NPI
Jane A. Sutliff, PH.D.
- Psychologist
- Louisville, CO
National Provider Identifier
1760445738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2198
- Practice address
- 357 McCaslin Blvd
Louisville, CO 80027-2941 - Phone
- (720) 313-3514
- Fax
- (303) 926-5201
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2198 | CO | Primary |
Addresses
Primary practice location
357 McCaslin Blvd
Louisville, CO 80027-2941
Mailing address
357 McCaslin Blvd
Louisville, CO 80027-2941
Phone (720) 313-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07021983 | Medicaid | CO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
357 McCaslin Blvd
Louisville, CO 80027-2941
Phone (720) 313-3514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2198 | CO | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Louisville, CO
- NPI 1619003209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1760445738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 MCCASLIN BLVD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272941",
"telephone_number": "720-313-3514",
"fax_number": "303-926-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 MCCASLIN BLVD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800272941",
"telephone_number": "720-313-3514",
"fax_number": "303-926-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTLIFF",
"first_name": "JANE",
"middle_name": "A.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07021983",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.