NPIMap

Individual provider Active NPI

Lynn Elisabeth Haley, PSYD

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1336270941
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0002708 Issued in CO
Practice address
5495 Arapahoe Ave
Boulder, CO 80303-1200
Phone
(720) 848-0000
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0002708 CO Primary
Mental Health Counselor 101YM0800X 2708 CO

Addresses

Primary practice location

5495 Arapahoe Ave
Boulder, CO 80303-1200

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (720) 848-0000

Other practice location 1

1801 High St
Denver, CO 80218-1307
Phone (303) 869-2541

Other practice location 2

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (720) 494-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210001111 CO Practitioner - Clinical Psychologist 8426954306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2708COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Current Accepting new patients
University Physicians Incorporated CurrentSince May 1, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince May 1, 2021 Accepting new patients
University Physicians Incorporated PastSince Dec 24, 2023 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1300 S Potomac St
Ste 122
Aurora, CO 80012
Phone (303) 369-1600

5495 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-4515

5495 Arapahoe Ave
Fl 2
Boulder, CO 80303
Phone (720) 848-9200

7960 S University Blvd
Ste 101
Centennial, CO 80122
Phone (303) 791-0301

Dept 1061
Denver, CO 80256

4545 E 9th Ave
Ste 10
Denver, CO 80220
Phone (303) 320-2121

3055 Roslyn St
Unit 100
Denver, CO 80238
Phone (720) 553-2695

9540 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 516-9014

8080 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 346-8828

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

361 Centennial Pkwy
Ste 120
Louisville, CO 80027
Phone (303) 465-2323

7403 Church Ranch Blvd
Unit 107
Westminster, CO 80021
Phone (720) 848-9000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1336270941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "720-848-0000",
            "fax_number": "720-494-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031200",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181307",
            "country_code": "US",
            "telephone_number": "303-869-2541",
            "fax_number": "303-869-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Mountain View Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013128",
            "country_code": "US",
            "telephone_number": "720-494-3121",
            "fax_number": "720-494-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "LYNN",
        "middle_name": "ELISABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0002708",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "2708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.