Individual provider Active NPI

Allison Sian Margulies, PH.D.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1184760514
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3470 Issued in CO
Practice address
300 Boardwalk Dr Unit 5a
Fort Collins, CO 80525-3093
Phone
(970) 223-2256
Fax
(970) 223-2324
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY3470 CO
Clinical Psychologist 103TC0700X 3470 CO Primary

Addresses

Primary practice location

300 Boardwalk Dr Unit 5a
Fort Collins, CO 80525-3093

Mailing address

4408 John F Kennedy Pkwy Apt B301
Fort Collins, CO 80525-3350
Phone (301) 642-3029

Other practice location 1

520 Zang St Ste 212
Broomfield, CO 80021-8224
Phone (303) 460-3881

Other practice location 2

1724 Majestic Dr
Suite 109
Lafayette, CO 80026-8510
Phone (303) 935-5200

Other practice location 3

12061 Tejon St Ste 300
Denver, CO 80234-2325
Phone (303) 665-6800

Other identifiers 2

IdentifierTypeStateIssuer
12129278OtherCAQH
49825003MedicaidCO

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY3470COMDIntellectual & Developmental Disabilities Psychologist
3470COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C. Blair Skinner, LLC Past Accepting new patients
Let'S Explore Psychological & Counseling Services Clinical Past Accepting new patients

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1184760514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 JOHN F KENNEDY PKWY APT B301",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253350",
            "telephone_number": "301-642-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR UNIT 5A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253093",
            "telephone_number": "970-223-2256",
            "fax_number": "970-223-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Zang St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800218224",
            "country_code": "US",
            "telephone_number": "303-460-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 Majestic Dr",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268510",
            "country_code": "US",
            "telephone_number": "303-935-5200",
            "fax_number": "303-648-5002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12061 Tejon St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802342325",
            "country_code": "US",
            "telephone_number": "303-665-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARGULIES",
        "first_name": "ALLISON",
        "middle_name": "SIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CO",
            "license": "PSY3470",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12129278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49825003",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.