Active NPI
Ewa Ostoja LLC
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1316582091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- EWA OSTOJA LLC
- Practice address
- 149 W Harvard St Ste 202
Fort Collins, CO 80525-2186 - Phone
- (970) 214-5574
- Fax
- (970) 797-1079
- NPI assigned
- Nov 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ewa Ostoja-Starzewska, PH.D.
- Title
- Managing Member
- Phone
- (970) 214-5574
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
149 W Harvard St Ste 202
Fort Collins, CO 80525-2186
Mailing address
2424 Pine Needle CT
Fort Collins, CO 80528-8585
Phone (979) 214-5574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144383605 | Other | CO | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
149 W Harvard St
Ste 202
Fort Collins, CO 80525
Phone (970) 214-5574
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fort Collins, CO
- NPI 1144383605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573948800000",
"number": "1316582091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 PINE NEEDLE CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288585",
"telephone_number": "979-214-5574",
"fax_number": "970-797-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 W HARVARD ST STE 202",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252186",
"telephone_number": "970-214-5574",
"fax_number": "970-797-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EWA OSTOJA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-17",
"last_updated": "2019-11-17",
"status": "A",
"authorized_official_last_name": "OSTOJA-STARZEWSKA",
"authorized_official_first_name": "EWA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "970-214-5574",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1144383605",
"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 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.