Active NPI
Susan P. Bromley PSYD LLC
- Clinical Psychologist
- Greeley, CO
National Provider Identifier
1790035830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1086
- 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, 2012
- 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
- Susan P Bromley, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryPractitioners & 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
- Greeley, CO
- NPI 1538139191
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.