Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275575680 Individual Practitioner Female Practitioner

Dr. Suzanne Marie Rudolph , EdD

Psychologist • Greeley, CO

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Rudolph, EdD is a registered healthcare professional specializing in Psychologist in Greeley, CO. Practice services are available at 2619 W 11TH STREET RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2619 W 11th Street Rd
Suite 23

Greeley, CO 806345464

Telephone 9702030643
Fax 9703517165

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Greeley, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Greeley, CO (1035 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
94 12 $150.00 $139.44

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CO 1815

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Corie Beckmann , MA, NCC, LPC

Counselor - Professional

NPI 1407958077

Master of Arts, National Certified Counselor, Licensed Professional Counselor

Jody Goodwine , MA, LPC

Counselor - Professional

NPI 1598751596

Master of Arts, Licensed Professional Counselor

Lisa Downs , LPC, RPT

Counselor - Mental Health

NPI 1871555276

Licensed Professional Counselor, Registered Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2009

Registered at 2619 W 11TH STREET RD, SUITE 23, GREELEY, CO 806345464 (Tel: 9702030643)

📍
Updated Business Mailing Address January 23, 2009

Registered at 2619 W 11TH STREET RD, SUITE 23, GREELEY, CO 806345464 (Tel: 9702030643)

👤
Provider Name / Credentials Updated January 23, 2009

Recorded as SUZANNE RUDOLPH, ED.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2009

Psychologist (License #1815 in CO)

🟢
Initial NPI Registration & Enumeration June 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275575680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2006
Last Update: January 23, 2009
Sole Proprietor: Yes

Mailing Address

2619 W 11th Street Rd, Suite 23

Greeley, CO 806345464

Phone: 9702030643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.