Individual provider Active NPI

Myia Gorter

  • School Psychologist
  • Denver, CO
National Provider Identifier
1336934934
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP0000001063193 Issued in MI
Practice address
2797 Wewatta Way Unit 2043
Denver, CO 80216-3640
Phone
(231) 944-8848
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP0000001063193 MI Primary
School Psychologist 103TS0200X 24411966 CO

Addresses

Primary practice location

2797 Wewatta Way Unit 2043
Denver, CO 80216-3640

Mailing address

2797 Wewatta Way Unit 2043
Denver, CO 80216-3640
Phone (231) 944-8848

Other names 1

  • Myia Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24411966COMDSchool Psychologist
SP0000001063193MIMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1336934934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 WEWATTA WAY UNIT 2043",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163640",
            "telephone_number": "231-944-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 WEWATTA WAY UNIT 2043",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163640",
            "telephone_number": "231-944-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTER",
        "first_name": "MYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "SP0000001063193",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "24411966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYIA",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.