Organization Active NPI

Susan P. Bromley PSYD LLC

  • Clinical Psychologist
  • Greeley, CO
National Provider Identifier
1790035830
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1086 Issued in CO
Legal business name
SUSAN P. BROMLEY PSYD LLC
Practice address
1015 37TH Ave CT
Suite 102
Greeley, CO 80634-2500
Phone
(970) 352-6830
Fax
(970) 352-1945
NPI assigned
Sep 17, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Susan P Bromley, PSYDNPI 1538139191
Title
Self
Phone
(970) 352-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1086 CO Primary

Addresses

Primary practice location

1015 37TH Ave CT
Suite 102
Greeley, CO 80634-2500

Mailing address

1015 37TH Avenue CT
Suite 102
Greeley, CO 80634-2565
Phone (970) 352-6830

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1790035830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 37TH AVENUE CT",
            "address_2": "SUITE 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342565",
            "telephone_number": "970-352-6830",
            "fax_number": "970-352-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 37TH AVE CT",
            "address_2": "SUITE 102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342500",
            "telephone_number": "970-352-6830",
            "fax_number": "970-352-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN P. BROMLEY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "970-352-6830",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.