Active NPI
Dorothy Haruyama, PH.D.
- Counseling Psychologist
- Fort Collins, CO
National Provider Identifier
1114595113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0006323
- Practice address
- 301 S Howes St FL 1
P.O. Box 655
Fort Collins, CO 80521-2795 - Phone
- (970) 213-1899
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0006323 | CO | Primary |
Addresses
Primary practice location
301 S Howes St FL 1
P.O. Box 655
Fort Collins, CO 80521-2795
Mailing address
301 S Howes St FL 1
P.O. Box 655
Fort Collins, CO 80521-2795
Phone (970) 213-1899
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006323 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1114595113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S HOWES ST FL 1",
"address_2": "P.O. BOX 655",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212795",
"telephone_number": "970-213-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S HOWES ST FL 1",
"address_2": "P.O. BOX 655",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212795",
"telephone_number": "970-213-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARUYAMA",
"first_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "0006323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.