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DR. KENNETH SUSLAK PH.D.
NPI 1962628636
Psychologist - Clinical in Boulder, CO

Active since April 18, 2007
5412 IDYLWILD TRL, BOULDER, CO 80301(303) 817-9963 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Suslak Ph.d. NPPES

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

DR. KENNETH SUSLAK PH.D. (NPI 1962628636) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (270) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1962628636
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH SUSLAKCredential: PH.D.
Location Address5412 IDYLWILD TRLBoulder, CO 80301-3571
Mailing Address16 Pine Brook RdBoulder, CO 80304-0478 · (303) 817-9963 · Fax (303) 444-0833
Phone(303) 817-9963
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962628636 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 CO · 270
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.
5412 IDYLWILD TRL, Boulder, CO 80301
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Other Providers at the Same Location NPPES 9

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

MS. MIRIAM F SCHIFF LMFT
Marriage & Family Therapist
5412 IDYLWILD TRL, SUITE 102
BOULDER, CO 80301
Boulder County (303) 619-3744
AMALIA BEARD MOT, OTR
Occupational Therapist
5412 IDYLWILD TRL
BOULDER, CO 80301
Boulder County (303) 579-6149
KATHLEEN LEROY
Counselor (Professional)
5412 IDYLWILD TRL, #100
BOULDER, CO 80301
Boulder County (720) 924-7559
SARA LEILANI PFEIFER
Physical Therapist
5412 IDYLWILD TRL
BOULDER, CO 80301
Boulder County (303) 530-1503
THE INTIMACY INSTITUTE
Specialist
5412 IDYLWILD TRL
BOULDER, CO 80301
Boulder County (720) 331-3354
ALYSON SCHWABE MA, LPC
Counselor (Professional)
5412 IDYLWILD TRL, SUITE 112
BOULDER, CO 80301
Boulder County (303) 960-7917
MS. HARRIET EDELSTEIN LCSW
Social Worker (Clinical)
5412 IDYLWILD TRL
BOULDER, CO 80301
Boulder County (303) 579-8454
MS. JILLIAN MICHELLE FRAZIN LCSW
Social Worker (Clinical)
5412 IDYLWILD TRL
BOULDER, CO 80301
Boulder County (303) 709-7101

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 Kenneth Suslak's NPI number?

The NPI number for Kenneth Suslak is 1962628636. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Kenneth Suslak located?

Kenneth Suslak practices at 5412 Idylwild Trl, Boulder, CO 80301. The listed phone number is (303) 817-9963.

What is Kenneth Suslak'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 Kenneth Suslak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.