Organization Active NPI

Susan Bograd

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1902236417
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34363 Issued in CO
Legal business name
SUSAN BOGRAD
Practice address
3300 E. 1St Avenue
Suite 590
Denver, CO 80206-5818
Phone
(303) 320-1968
Fax
(303) 322-2155
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Susan Bograd, M.D.NPI 1366517625
Title
Owner
Phone
(303) 320-1968

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X 34363 CO
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 34363 CO Primary

Addresses

Primary practice location

3300 E. 1St Avenue
Suite 590
Denver, CO 80206-5818

Mailing address

3300 E. 1St Avenue
Suite 590
Denver, CO 80206-5818
Phone (303) 320-1968

Other names 1

  • full name Susan Beausoleil Bograd Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1902236417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E. 1ST AVENUE",
            "address_2": "SUITE 590",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065818",
            "telephone_number": "303-320-1968",
            "fax_number": "303-322-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E. 1ST AVENUE",
            "address_2": "SUITE 590",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065818",
            "telephone_number": "303-320-1968",
            "fax_number": "303-322-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BOGRAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BOGRAD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-320-1968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CO",
            "license": "34363",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "34363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "full name Susan Beausoleil Bograd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.