Colleen Kerry Warshawer, ED.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

356319 Issued in NM

Practice address

61 Del Sol Trail
Santa Fe, NM 87508

Phone

(505) 470-9686

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Kerry Agard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1265100382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875520368",
            "telephone_number": "505-657-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DEL SOL TRAIL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-470-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAWER",
        "first_name": "COLLEEN",
        "middle_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-08-22",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "356319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cwarshawer@pecos.k12.nm.us",
            "affiliation": "N",
            "endpointDescription": "school email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "61 Del Sol Trail",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "AGARD",
            "middle_name": "KERRY",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shane Ward, LMHC
• Warren G. Hoffman D.D.S. P.a.
• Darlene Warren
• Stuart Arthur Warren
• Susan Warren, RN, CDE
• Wartell Enterprises, LLC
• Robert L Wartell, D. M. D.
• John Dirk Wassner, MD
• Linda Wassner, APRN-BC
• Waterbird Therapies

• Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.