Jeremy T. Sharp, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3349 Issued in CO

Legal business name

JEREMY T. SHARP, PH.D., LLC

Practice address

3500 John F Kennedy Pkwy Ste 200
Fort Collins, CO 80525-2635

Phone

(970) 889-8204

Fax

(888) 494-3756

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Thomas Sharp, PH.D.NPI 1821323676

Title

Psychologist

Phone

(970) 420-7919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Jeremy T Sharp PHD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeremy T. Sharp, PH.D., LLC

  • Psychologist
  • Johnstown, CO
  • NPI 1659982312
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Thomas Sharp, PH.D.

  • Counseling Psychologist
  • Fort Collins, CO
  • NPI 1821323676
  Medicare reassignment Authorized official
• Rebecca Hoke, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1477065985
  Medicare reassignment NPD

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1104156777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JOHN F KENNEDY PKWY STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252635",
            "telephone_number": "970-889-8204",
            "fax_number": "888-494-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 JOHN F KENNEDY PKWY STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252635",
            "telephone_number": "970-889-8204",
            "fax_number": "888-494-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY T. SHARP, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-420-7919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Bourne Jensen
• Nathalie Jensen
• Noel C Jensen, L.AC.
• Spencer Lynn Jensen
• Barbara Jenson
• Jennifer R Jergerian, PSY.D
• Geraldine Victoria Jerome, M.D.
• Thadeus Collins Jessen, LPC
• Mari Jesser
• Jessica Grant, LCSW LLC

• Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.