Organization Active NPI

Two Doors Down Psychotherapy, LLC

  • Psychologist
  • Boulder, CO
National Provider Identifier
1194583104
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TWO DOORS DOWN PSYCHOTHERAPY, LLC
Practice address
1975 30TH St Apt 115
Boulder, CO 80301-3067
Phone
(206) 769-6792
Fax
(206) 299-9588
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Dr. Megan Alexandra Swan, PHDNPI 1750632600
Title
Owner, Clinical Psychologist
Phone
(206) 769-6792

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1975 30TH St Apt 115
Boulder, CO 80301-3067

Mailing address

1975 30TH St Apt 115
Boulder, CO 80301-3067
Phone (206) 769-6792

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1194583104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 30TH ST APT 115",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013067",
            "telephone_number": "206-769-6792",
            "fax_number": "206-299-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 30TH ST APT 115",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013067",
            "telephone_number": "206-769-6792",
            "fax_number": "206-299-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO DOORS DOWN PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-769-6792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2024; 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.