Jessica McCrea, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JESSICA MCCREA, LLC

Practice address

4430 Arapahoe Ave Ste 215
Boulder, CO 80303-1132

Phone

(303) 247-0408

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Jessica McCreaNPI 1174742308

Title

Owner / Psy.D

Phone

(303) 247-0408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Susan McCrea, PSY.D.

  • Clinical Psychologist
  • Boulder, CO
  • NPI 1174742308
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1346716131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 ARAPAHOE AVE STE 215",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031132",
            "telephone_number": "303-247-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 ARAPAHOE AVE STE 215",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031132",
            "telephone_number": "303-247-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MCCREA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER / PSY.D",
        "authorized_official_telephone_number": "303-247-0408"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Jeong, PHARM.D.
• Peter Neilson Jeppsen, D.D.S.
• Jeremiah Kaplan MD PLLC
• Jesse Friedman, DMD, PC
• Diane Jessee
• Linnea Jewett, MA, LPC
• Jewish Family Service of Colorado
• Jewish Family Service of Colorado
• Jewish Family Service of Colorado
• Jill S. Kamon, MD, Professional, LLC

• Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.