Organization Active NPI

Shift Psychology, LLC

Doing business as Shift Psychological Health

  • Clinical Psychologist
  • Cedaredge, CO
National Provider Identifier
1346005683
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHIFT PSYCHOLOGY, LLC
Doing business as
Shift Psychological Health
Practice address
19701 San Juan Vista Rd
Cedaredge, CO 81413-6700
Phone
(970) 462-8416
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Dr. Lindsey Nelson, PHDNPI 1013679588
Title
Psychologist/Owner
Phone
(970) 462-8416

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

19701 San Juan Vista Rd
Cedaredge, CO 81413-6700

Mailing address

19701 San Juan Vista Rd
Cedaredge, CO 81413-6700
Phone (970) 462-8416

Other names 1

  • Shift Psychological Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1346005683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 SAN JUAN VISTA RD",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814136700",
            "telephone_number": "970-462-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 SAN JUAN VISTA RD",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814136700",
            "telephone_number": "970-462-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "970-462-8416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shift Psychological Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedaredge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.