NPIMap

Organization Active NPI

Dove Haven LLC

  • Psychologist
  • Walden, CO
National Provider Identifier
1194215939
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004733 Issued in CO
Legal business name
DOVE HAVEN LLC
Practice address
312 5 TH Street
Walden, CO 80480
Phone
(720) 810-1386
NPI assigned
May 17, 2018
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Lisa Marr, PSYDNPI 1942700422
Title
Psychologist/Owner
Phone
(720) 810-1386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0004733 CO Primary

Addresses

Primary practice location

312 5 TH Street
Walden, CO 80480

Mailing address

PO Box 882
Walden, CO 80480-0882
Phone (720) 810-1386

Other practice location 1

280 E. Colfax Ave.
Bennett, CO 80102
Phone (720) 810-1386

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Walden

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1194215939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "WALDEN",
            "state": "CO",
            "postal_code": "804800882",
            "telephone_number": "720-810-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 5 TH STREET",
            "city": "WALDEN",
            "state": "CO",
            "postal_code": "80480",
            "telephone_number": "720-810-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 E. Colfax Ave.",
            "address_purpose": "LOCATION",
            "city": "Bennett",
            "state": "CO",
            "postal_code": "80102",
            "country_code": "US",
            "telephone_number": "720-810-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOVE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "720-810-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walden",
            "affiliation": "N",
            "address_1": "312 5 th Street",
            "city": "Walden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.