Active NPI
Nancy Mary Horstmann, PHD
- Clinical Psychologist
- Boulder, CO
National Provider Identifier
1184669343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1514
- Practice address
- 4141 Arapahoe Ave
#205
Boulder, CO 80303-1032 - Phone
- (303) 447-0811
- Fax
- (303) 442-3170
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1514 | CO | Primary |
Addresses
Primary practice location
4141 Arapahoe Ave
#205
Boulder, CO 80303-1032
Mailing address
4141 Arapahoe Ave
#205
Boulder, CO 80303-1032
Phone (303) 447-0811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C60766 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060111000050 | CO | Practitioner - Clinical Psychologist | 1355364829 | Practice locations: Boulder, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Maryland School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3393 Iris Ave
Suite 204
Boulder, CO 80301-1956
Phone (303) 447-0811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1514 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1184669343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 ARAPAHOE AVE",
"address_2": "#205",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031032",
"telephone_number": "303-447-0811",
"fax_number": "303-442-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 ARAPAHOE AVE",
"address_2": "#205",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031032",
"telephone_number": "303-447-0811",
"fax_number": "303-442-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMANN",
"first_name": "NANCY",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C60766",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.