Individual provider Active NPI

Karen L Midyet, PSYD

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1144419490
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1073 Issued in CO
Practice address
2245 Merlot CT
Fort Collins, CO 80528-7048
Phone
(303) 944-5616
NPI assigned
Oct 22, 2007
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1073 CO Primary
Counseling Psychologist 103TC1900X 1073 CO

Addresses

Primary practice location

2245 Merlot CT
Fort Collins, CO 80528-7048

Mailing address

2245 Merlot CT
Fort Collins, CO 80528-7048
Phone (303) 944-5616

Other identifiers 1

IdentifierTypeStateIssuer
262683OtherCOPTAN

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
I20120711000481 CO Practitioner - Clinical Psychologist 6406838879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2245 Merlot CT
Fort Collins, CO 80528-7048
Phone (303) 944-5616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen L Midyet PSYD PC CurrentSince Dec 6, 2006 Accepting new patients

Locations

445 Union Blvd
Ste 201
Lakewood, CO 80228
Phone (303) 759-3094

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1144419490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 MERLOT CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805287048",
            "telephone_number": "303-944-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 MERLOT CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805287048",
            "telephone_number": "303-944-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDYET",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1073",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "1073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "262683",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.