Organization Active NPI

Ewa Ostoja LLC

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1316582091
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Nov 17, 2019

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.NPI 1144383605
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1144383605OtherCOINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205000896 CO Part B Supplier - Clinic/Group Practice 9638505936 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.