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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JED M SUSSMAN PHD
NPI 1912965476
Clinical Neuropsychologist in Pleasanton, CA

Active since May 03, 2006
4466 BLACK AVE, STE H, PLEASANTON, CA 94566(925) 600-8199 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Jed M Sussman Phd NPPES

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

JED M SUSSMAN PHD (NPI 1912965476) is an individual clinical neuropsychologist in Pleasanton, California, licensed in California (PSY7553) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1912965476
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameJED M SUSSMANCredential: PHD
Location Address4466 BLACK AVE, STE HPleasanton, CA 94566
Mailing AddressPo Box 942Pleasanton, CA 94566 · (925) 600-8199
Phone(925) 600-8199
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1912965476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY7553
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY7553 (CA)
4466 BLACK AVE, Pleasanton, CA 94566
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HISAKO OHMOTO LEUNG
Internal Medicine (Rheumatology)
4466 BLACK AVE, SUITE A
PLEASANTON, CA 94566
Alameda County (925) 600-8220
DR. JOHN CHARLES CARMAN DDS
Dentist (Periodontics)
4466 BLACK AVE, STE B
PLEASANTON, CA 94566
Alameda County (925) 484-0200

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 Jed Sussman's NPI number?

The NPI number for Jed Sussman is 1912965476. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jed Sussman located?

Jed Sussman practices at 4466 Black Ave Ste H, Pleasanton, CA 94566. The listed phone number is (925) 600-8199.

What is Jed 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 Jed Sussman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.