NPIMap

Organization Active NPI

Colorado Family Institute

  • Psychologist
  • Boulder, CO
National Provider Identifier
1205026937
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23509 Issued in CO
Legal business name
COLORADO FAMILY INSTITUTE
Practice address
528 Pearl St
Boulder, CO 80302-5002
Phone
(303) 442-8320
Fax
(303) 417-0700
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Jan T Raynak, M.D
Title
Owner
Phone
(303) 442-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23509 CO Primary

Addresses

Primary practice location

528 Pearl St
Boulder, CO 80302-5002

Mailing address

528 Pearl St
Boulder, CO 80302-5002
Phone (303) 442-8320

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1205026937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025002",
            "telephone_number": "303-442-8320",
            "fax_number": "303-417-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025002",
            "telephone_number": "303-442-8320",
            "fax_number": "303-417-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "RAYNAK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-442-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "23509",
            "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 Jul 30, 2007; 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.