Karen Kay Sharer-Mohatt, PSYD
Individual provider Active NPI Clinical Psychologist · Dacono, CO
NPI 1114002102 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1114002102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 445 (NE)
- Practice address
- 435 Short Drive
Dacono, CO 80514-5040 - Phone
- (402) 432-3629
- Fax
- (303) 200-7218
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4710 Table Mesa Dr
Suite B
Boulder, CO 80305-4504
Phone (402) 432-3629
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181106000239 | CO | Practitioner - Clinical Psychologist | 8527074145 | Practice locations: Boulder, CO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Sharer-Mohatt, PSYD PC | Clinical | Current |
Accepting new patients |
| Molly M. Burns, Psy.D., P.C. | Clinical | Past | Accepting new patients |
Locations
4710 Table Mesa Dr
Ste B
Boulder, CO 80305
Phone (303) 499-9892
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 445 | NE | Yes |
Addresses
Primary practice location
435 Short Drive
Dacono, CO 80514-5040
Mailing address
435 Short Drive
Dacono, CO 80514-5040
Phone (402) 432-3629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47083316526 | Medicaid | NE | |
| 08462 | Other | NE | BCBS PROVIDER ID |
Other providers in Dacono, CO
- Justin Lee McLeod
- Modern Urology PLLC
- Timothy J Nagel
- North Metro Family Medicine
- North Vista Medical Partners LLC
- Eric Herbert Smith
- Whitney Steele
- Charles E Tawa
- David Z Tusek
- Usacs Community Emergency Services of Colorado, Inc.
All providers in Dacono, CO · Clinical Psychologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.