Active NPI
Nathalie A Colin, PSYD
- Psychologist
- Washington, UT
National Provider Identifier
1013738814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 12198660-2501
- Practice address
- 416 E Rocco Rd
Washington, UT 84780-1754 - Phone
- (435) 314-7578
- NPI assigned
- Oct 23, 2024
- Last updated
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 12198660-2501 | UT | Primary |
Addresses
Primary practice location
416 E Rocco Rd
Washington, UT 84780-1754
Mailing address
416 E Rocco Rd
Washington, UT 84780-1754
Phone (435) 314-7578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12198660-2501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1013738814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E ROCCO RD",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847801754",
"telephone_number": "435-314-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E ROCCO RD",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847801754",
"telephone_number": "435-314-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIN",
"first_name": "NATHALIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "12198660-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.