DR. SUZANNE M. KENNEALLY (NPI# 1619000882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619000882 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE M. KENNEALLY |
| Credential | PSY.D. |
| Practice Address |
6901 S. Pierce Street Suite 386 Littleton CO 80128 |
| Practice Telephone | 3039609291 |
| Practice Fax Number | 3032659409 |
| Mailing Telephone | 3039609291 |
| Mailing Fax Number | 3032659409 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | CO1793 | CO | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 1793 | CO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | CO1793 | CO | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1793 | CO | Behavioral Health & Social Service Providers |
| Street Address |
6901 S. PIERCE STREET SUITE 386 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399663 | Carlson Dental Pllc | Dentist | 7325 S. Pierce St Suite 200, Littleton, CO 80128 | 2019-07-25 |
| 1073073060 | Anais Christina Taylor | Student in an Organized Health Care Education/Training Program | 1960 Ogden St, Family Medicine - Bruner Family Medicine, Suite 460, Denver, CO 80128 | 2019-03-25 |
| 1033623467 | Georgia Kay Thompson | Specialist/Technologist, Other | 7575 S Everett St, Littleton, CO 80128 | 2017-11-21 |
| 1831619147 | Tori Horstmann | Speech-Language Pathologist | 7767 S Marshall Ct, Littleton, CO 80128 | 2017-06-27 |
| 1942736178 | Morgan Pamela Wilson | Physical Therapist | 6638 W Ottawa Ave # 115, Littleton, CO 80128 | 2017-05-09 |
| 1013450451 | Gabrielle O'hare | Behavioral Analyst | 8406 S Newland Ct, Littleton, CO 80128 | 2016-12-01 |
| 1528420940 | Colorado Assisted Living Homes Lamar | Assisted Living Facility | 6952 S. Lamar St, Littleton, CO 80128 | 2016-03-24 |
| 1871962407 | Jane Funke Mcgill | Counselor | 7345 S Pierce St Ste 202h2, Littleton, CO 80128 | 2015-09-24 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1679823843 | Desirae Frances Kemock | Physical Therapist | 9805 W Hinsdale Pl, Littleton, CO 80128 | 2012-09-14 |
| Find all providers in zip 80128 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084418 | Stephanie Fox | Psychologist | 5005 S Kipling Pkwy Ste A7, #164, Littleton, CO 80127-1375 | 2018-05-18 |
| 1942727201 | Noha, LLC | Psychologist | 1449 W Littleton Blvd Ste 204, Littleton, CO 80120-2127 | 2017-08-28 |
| 1588199970 | Jennifer Lopez-glidewell | Psychologist | 655 W Peakview Ave, Littleton, CO 80120-3441 | 2017-04-24 |
| 1407184401 | Amy Dexter | Psychologist | 4956 S Prince Ct Apt 304, Littleton, CO 80123-7792 | 2009-12-02 |
| 1235462318 | Ching-yen Godwin | Psychologist | 11 W Dry Creek Circle, Ste 140, Littleton, CO 80120-8077 | 2009-09-08 |
| 1316135072 | Rebecca I. Howard | Psychologist | 609 W. Littleton Blvd, Suite 303, Littleton, CO 80120 | 2007-10-09 |
| 1518017300 | Carolyn Imperato | Psychologist | 537 King St, Littleton, MA 01460 | 2007-01-12 |
| 1891880704 | Diane Marie Franciose-webber | Psychologist | 52 New Estate Rd, Littleton, MA 01460-3023 | 2006-10-04 |
| 1902904733 | R Timothy Pollak | Psychologist | 8326 S Carr St, Suite 102, Littleton, CO 80128-6128 | 2006-09-20 |
| 1376550848 | Shirley Carol Taylor | Psychologist | 8500 W Bowles Ave, Suite 206, Littleton, CO 80123 | 2006-08-01 |
| Find all providers in LITTLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.