Active NPI
Miranda Maria Filippides, PH.D.
- Clinical Psychologist
- Edwards, CO
National Provider Identifier
1114938255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3118
- Practice address
- 57 Edwards Access Road
Suite # 16
Edwards, CO 81632 - Phone
- (970) 766-2000
- Fax
- (970) 766-2001
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003496 | VA | |
| Clinical Psychologist | 103TC0700X | 3118 | CO | Primary |
Addresses
Primary practice location
57 Edwards Access Road
Suite # 16
Edwards, CO 81632
Mailing address
PO Box 2410
Avon, CO 81620-2410
Phone (970) 766-2000
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003496 | VA | MD | Clinical Psychologist |
| 3118 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1114938255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2410",
"city": "AVON",
"state": "CO",
"postal_code": "816202410",
"telephone_number": "970-766-2000",
"fax_number": "970-766-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 EDWARDS ACCESS ROAD",
"address_2": "SUITE # 16",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-766-2000",
"fax_number": "970-766-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIPPIDES",
"first_name": "MIRANDA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003496",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.