Suzita Cochran, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY.0002176 Issued in CO

Practice address

5378 Sterling Dr # 5
Boulder, CO 80301-2351

Phone

(720) 504-8554

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1932897295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LINDEN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041535",
            "telephone_number": "303-725-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 STERLING DR # 5",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012351",
            "telephone_number": "720-504-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3393 Iris Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011956",
            "country_code": "US",
            "telephone_number": "720-504-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "SUZITA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "PSY.0002176",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CO",
            "license": "PSY.0002176",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0002176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Coatley, M.A., BCBA
• Tracy Lee Cobb, LPC
• Yasmina M. Cobrinik, LPCC, NCC, M.ED.
• Lisa Anne Sheldon Coburn, DDS
• Samuel Cochran, BSW
• Coco Eye Surgery Boulder, PLLC
• Esme Cody, L.AC.
• Sarah Jane Coffey, LPCC
• Jeffrey Morris Coffman
• Carley Cohen-Fox, MSW LCSW CMC

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.