Healthcare Provider Details

I. General information

NPI: 1659474237
Provider Name (Legal Business Name): BILLINGS SIBLEY FUESS III PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 FOX HOLLOW LN
GOLDEN CO
80401-0908
US

IV. Provider business mailing address

814 FOX HOLLOW LN
GOLDEN CO
80401-0908
US

V. Phone/Fax

Practice location:
  • Phone: 203-613-7332
  • Fax:
Mailing address:
  • Phone: 203-613-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1917
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0123001
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: