IndividualActive
Kenneth Suslak, PH.D.
NPI 1962628636 · Clinical Psychologist · Boulder, CO
Kenneth Suslak, PH.D. is a Clinical Psychologist provider in Boulder, CO (NPI 1962628636).
Provider details
- NPI number
- 1962628636
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 270 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5412 Idylwild Trl
Boulder, CO 80301-3571
Phone: (303) 817-9963
Approximate (ZIP-level) locationGet directions
Mailing address
16 Pine Brook Rd
Boulder, CO 80304-0478
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Suslak's NPI number?
- Kenneth Suslak's National Provider Identifier (NPI) is 1962628636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Suslak's specialty?
- Kenneth Suslak is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Suslak located?
- Kenneth Suslak's practice location on file with NPPES is 5412 Idylwild Trl, Boulder, CO 80301-3571.
- What is Kenneth Suslak's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Suslak is (303) 817-9963.
- Is Kenneth Suslak's NPI active?
- Yes — Kenneth Suslak's NPI (1962628636) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.