Individual provider Active NPI

Jonalyn Blaha, PSY.D.

  • Specialist
  • Denver, CO
National Provider Identifier
1114466323
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NLC.0107232 Issued in CO
Practice address
1290 N Williams St
Denver, CO 80218-2600
Phone
(720) 507-6923
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NLC.0107232 CO Primary
Psychologist 103T00000X NLC.0107232 CO

Addresses

Primary practice location

1290 N Williams St
Denver, CO 80218-2600

Mailing address

1290 N Williams St Ste 302
Denver, CO 80218-2661
Phone (720) 507-6923

Other practice location 1

2855 N Speer Blvd
Denver, CO 80211-4239
Phone (720) 507-6923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0107232COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114466323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N WILLIAMS ST STE 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802182661",
            "telephone_number": "720-507-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 N WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802182600",
            "telephone_number": "720-507-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 N Speer Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802114239",
            "country_code": "US",
            "telephone_number": "720-507-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "JONALYN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "NLC.0107232",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "NLC.0107232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.