Dana Leigh Charatan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3695 Issued in CO

Practice address

100 Arapahoe Ave
Suite 8
Boulder, CO 80302-5854

Phone

(303) 818-6144

Fax

(303) 648-4768

NPI assigned

Jan 4, 2011

Last updated

May 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dana Leigh Charatan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 1, 2016 through Aug 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1053615146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE",
            "address_2": "SUITE 8",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "303-818-6144",
            "fax_number": "303-648-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE",
            "address_2": "SUITE 8",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "303-818-6144",
            "fax_number": "303-648-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARATAN",
        "first_name": "DANA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "CHARATAN",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Chan, M.D.
• Rohini Chandra, CSW-C
• Tracy Chaney
• David Chang, DC
• Bradley Grant Changstrom, M.D.
• Charles Horowitz PH.D.
• Charles Jones MD PC
• Sallie H Charles, NP
• Marlon Charneau
• Alicia Charry-Cedano

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.