DR. SUSAN FREDRICKSON PH.D.
NPI 1619305786
Psychologist - Clinical in Towaoc, CO

Q: What is Susan Fredrickson's NPI number?

The NPI number for Susan Fredrickson is 1619305786. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Q: What is Susan Fredrickson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fredrickson was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2013

232 RUSTLING WILLOW ST., UTE MOUNTAIN UTE HEALTH CENTER, TOWAOC, CO 81334(970) 565-4441(970) 564-4784 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Susan Fredrickson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN FREDRICKSON PH.D. (NPI 1619305786) is an individual clinical provider in Towaoc, Colorado, licensed in New Mexico (629) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1619305786

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN FREDRICKSONCredential: PH.D.

Location Address232 RUSTLING WILLOW ST., UTE MOUNTAIN UTE HEALTH CENTERTowaoc, CO 81334-0049

Mailing AddressPo Box 49, Ute Mountain Ute Health CenterTowaoc, CO 81334-0049 · (970) 565-4441 · Fax (970) 564-4784

Phone(970) 565-4441

Fax(970) 564-4784

Sole ProprietorNo

Enumeration DateOctober 28, 2013

✔ NPI 1619305786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NM · 629

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

232 RUSTLING WILLOW ST., Towaoc, CO 81334

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Fredrickson's NPI number?

The NPI number for Susan Fredrickson is 1619305786. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Where is Susan Fredrickson located?

Susan Fredrickson practices at 232 Rustling Willow St. Ute Mountain Ute Health Center, Towaoc, CO 81334. The listed phone number is (970) 565-4441.

What is Susan Fredrickson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susan Fredrickson was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.