Individual provider Active NPI

Ewa Ostoja-Starzewska, PH.D. LICENSED PSYCH

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1144383605
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2462 Issued in CO
Practice address
149 West Harvard Street
Suite 202
Fort Collins, CO 80525
Phone
(970) 214-5574
Fax
(970) 797-1079
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2462 CO Primary

Addresses

Primary practice location

149 West Harvard Street
Suite 202
Fort Collins, CO 80525

Mailing address

149 West Harvard Street
Suite 202
Fort Collins, CO 80525
Phone (970) 214-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303001091 CO Practitioner - Clinical Psychologist 0244284032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

149 W Harvard St
Fort Collins, CO 80525-2186
Phone (970) 214-5574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2462COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ewa Ostoja LLC Clinical CurrentSince Jan 4, 2020 Accepting new patients

Locations

149 W Harvard St
Ste 202
Fort Collins, CO 80525
Phone (970) 214-5574

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1144383605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 WEST HARVARD STREET",
            "address_2": "SUITE 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-214-5574",
            "fax_number": "970-797-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 WEST HARVARD STREET",
            "address_2": "SUITE 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-214-5574",
            "fax_number": "970-797-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOJA-STARZEWSKA",
        "first_name": "EWA",
        "credential": "PH.D. LICENSED PSYCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.