Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jed M Sussman, PHD

Individual provider Clinical Neuropsychologist · NPI 1912965476

Jed M Sussman, PHD is a Clinical Neuropsychologist in Pleasanton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4466 Black Ave Ste H
Pleasanton, CA 94566
Phone: (925) 600-8199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY7553 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY7553 (CA)

Record details

NPI number1912965476
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 942, Pleasanton, CA 94566

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