Individual provider Active NPI

Catherine W Maccoll, MD

  • Child & Adolescent Psychiatry Physician
  • Vail, CO
National Provider Identifier
1154468437
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
48146 Issued in CO
Practice address
395 E Lionshead Cir
Vail, CO 81657-5354
Phone
(970) 476-0930
Fax
(970) 476-0535
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 48146 CO
Child & Adolescent Psychiatry Physician 2084P0804X 48146 CO Primary
Psychiatry Physician 2084P0800X 48146 CO

Addresses

Primary practice location

395 E Lionshead Cir
Vail, CO 81657-5354

Mailing address

715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107

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 Medicine

State licenses

LicenseStateTypeSpecialty
48146COMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1154468437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E LIONSHEAD CIR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575354",
            "telephone_number": "970-476-0930",
            "fax_number": "970-476-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOLL",
        "first_name": "CATHERINE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "48146",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "48146",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "48146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.