ZACHARY SUSSMAN
NPI 1720537467
Clinical Neuropsychologist in Boulder, CO

Active since September 22, 2016
2501 WALNUT ST STE 104, BOULDER, CO 80302(303) 564-8684(303) 443-4682 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Sussman NPPES

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

ZACHARY SUSSMAN (NPI 1720537467) is a healthcare organization registered as a clinical neuropsychologist in Boulder, Colorado and active in the NPI registry since September 2016. The organization lists Zachary Wroe Sussman, Pediatric Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1720537467
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameZACHARY SUSSMAN
Location Address2501 WALNUT ST STE 104Boulder, CO 80302-5752
Mailing Address2501 Walnut St Ste 104Boulder, CO 80302-5752 · (303) 564-8684 · Fax (303) 443-4682
Fax(303) 443-4682
Organization SubpartNo
Authorized OfficialZachary Wroe SussmanPediatric Neuropsychologist · (303) 564-8684
Enumeration DateSeptember 22, 2016
NPI 1720537467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in CO · 0004443
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2501 WALNUT ST STE 104, Boulder, CO 80302

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Zachary Sussman's NPI number?

The NPI number for Zachary Sussman is 1720537467. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Zachary Sussman located?

Zachary Sussman is located at 2501 Walnut St Ste 104, Boulder, CO 80302. The listed phone number is (303) 564-8684.

What is Zachary Sussman's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Zachary Sussman was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.