Active NPI
New Peaks Neuropsychology, PLLC
- Clinical Neuropsychologist
- Boulder, CO
National Provider Identifier
1083354633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- NEW PEAKS NEUROPSYCHOLOGY, PLLC
- Practice address
- 777 29TH St Ste 200
Boulder, CO 80303-2316 - Phone
- (303) 200-4780
- NPI assigned
- Mar 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Koepf
- Title
- Billing Contracting Manager
- Phone
- (303) 444-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
777 29TH St Ste 200
Boulder, CO 80303-2316
Mailing address
PO Box 273336
Fort Collins, CO 80527-3336
Phone (303) 444-3443
National Provider Directory
National Provider DirectoryLocations
777 29th St
Ste 200
Boulder, CO 80303
Phone (303) 200-4780
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Boulder, CO
- NPI 1518052604
-
- Clinical Neuropsychologist
- Englewood, CO
- NPI 1184102790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1083354633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273336",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805273336",
"telephone_number": "303-444-3443",
"fax_number": "970-221-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 29TH ST STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032316",
"telephone_number": "303-200-4780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW PEAKS NEUROPSYCHOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "KOEPF",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "BILLING CONTRACTING MANAGER",
"authorized_official_telephone_number": "303-444-3443"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.