Individual provider Active NPI

Julia Anne Sadusky, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1821696204
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005371 Issued in CO
Practice address
4100 E Mississippi Ave Ste 1300
Denver, CO 80246-3057
Phone
(303) 771-0861
Fax
(720) 889-4258
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0005371 CO Primary

Addresses

Primary practice location

4100 E Mississippi Ave Ste 1300
Denver, CO 80246-3057

Mailing address

5052 NE County Line Rd
Erie, CO 80516-9317
Phone (302) 535-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2022 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0005371COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lux Counseling and Consulting LLC CurrentSince Jul 17, 2021 Accepting new patients
Edc of Denver, LLC Past Accepting new patients

Locations

5911 Middlefield Rd
Ste 102
Littleton, CO 80123
Phone (720) 295-2453

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1821696204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 NE COUNTY LINE RD",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805169317",
            "telephone_number": "302-535-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE STE 1300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463057",
            "telephone_number": "303-771-0861",
            "fax_number": "720-889-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADUSKY",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.