Organization Active NPI

Dr Miguelina Vargas, PHD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1346600574
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2647 Issued in CO
Legal business name
DR MIGUELINA VARGAS, PHD
Doing business as
DR Miguelina J Vargas Psychologist LLC
Practice address
1304 N Academy Blvd
Suite 204
Colorado Springs, CO 80909-3325
Phone
(719) 205-4309
Fax
(719) 465-3576
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Miguelina Vargas Vargas, PHD
Title
Psychologist/Owner
Phone
(719) 205-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2647 CO Primary

Addresses

Primary practice location

1304 N Academy Blvd
Suite 204
Colorado Springs, CO 80909-3325

Mailing address

1304 N Academy Blvd
Suite 204
Colorado Springs, CO 80909-3325
Phone (719) 205-4309

Other identifiers 2

IdentifierTypeStateIssuer
279008OtherCOPTAN
11421835MedicaidCO

Other names 1

  • DR Miguelina J Vargas Psychologist LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1304 N Academy Blvd
Ste 204
Colorado Springs, CO 80909
Phone (719) 205-4309

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1346600574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-205-4309",
            "fax_number": "719-465-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD",
            "address_2": "SUITE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093325",
            "telephone_number": "719-205-4309",
            "fax_number": "719-465-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIGUELINA VARGAS, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MIGUELINA VARGAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "719-205-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "279008",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11421835",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR Miguelina J Vargas Psychologist LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.