Mark Suyeishi, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1162 Issued in CO

Legal business name

MARK SUYEISHI, PSY.D., P.C.

Practice address

6075 S Quebec St
Suite 203
Englewood, CO 80111-4533

Phone

(303) 397-0888

Fax

(303) 796-0324

NPI assigned

Mar 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leighton Mark Suyeishi, PSY.D.

Title

President

Phone

(303) 397-0888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770607657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 SOUTH QUEBEC STREET",
            "address_2": "SUITE 203",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114535",
            "telephone_number": "303-397-0888",
            "fax_number": "303-796-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 S QUEBEC ST",
            "address_2": "SUITE 203",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114533",
            "telephone_number": "303-397-0888",
            "fax_number": "303-796-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SUYEISHI, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUYEISHI",
        "authorized_official_first_name": "LEIGHTON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-397-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.