Organization Active NPI

Gregory a Thwaites PHD PLLC

  • Clinical Neuropsychologist
  • Greeley, CO
National Provider Identifier
1104860550
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2049 Issued in CO
Legal business name
GREGORY A THWAITES PHD PLLC
Practice address
2001 70TH Ave Ste 205
Greeley, CO 80634-4613
Phone
(970) 392-2190
Fax
(970) 392-2193
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Gregory A Thwaites, PHD
Title
Owner/Provider
Phone
(970) 392-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 2049 CO Primary

Addresses

Primary practice location

2001 70TH Ave Ste 205
Greeley, CO 80634-4613

Mailing address

2001 70TH Ave Ste 205
Greeley, CO 80634-4613
Phone (970) 392-2190

National Provider Directory

National Provider Directory

Locations

2026 Caribou Dr
Unit 101
Fort Collins, CO 80525
Phone (970) 225-6900

2001 70th Ave
Ste 205
Greeley, CO 80634
Phone (970) 392-2190

11684 Huron St
Ste 100
Northglenn, CO 80234
Phone (303) 252-7436

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1104860550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 70TH AVE STE 205",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344613",
            "telephone_number": "970-392-2190",
            "fax_number": "970-392-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 70TH AVE STE 205",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344613",
            "telephone_number": "970-392-2190",
            "fax_number": "970-392-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A THWAITES PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "THWAITES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "970-392-2190",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.