Active NPI
Harlan Ross Austin, PH.D.
- Psychologist
- Avon, CO
National Provider Identifier
1174845127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0004247
- Practice address
- 50 Buck Creek Rd Ste 200
Avon, CO 81620-5428 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Feb 18, 2010
- Last updated
- May 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0004247 | CO | Primary |
Addresses
Primary practice location
50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Mailing address
1693 Quentin St
Cedar
Aurora, CO 80045-2518
Phone (720) 848-3078
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 |
|---|---|---|---|
| 0004247 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1174845127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1693 QUENTIN ST",
"address_2": "CEDAR",
"city": "AURORA",
"state": "CO",
"postal_code": "800452518",
"telephone_number": "720-848-3078",
"fax_number": "720-848-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BUCK CREEK RD STE 200",
"city": "AVON",
"state": "CO",
"postal_code": "816205428",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "HARLAN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-18",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "0004247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Avon Chiropractic Health Center
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- Axis Sports Medicine, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.