NPIMap

Organization Active NPI

Tammi Vacha Haase PHD LLC

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1356453922
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TAMMI VACHA HAASE PHD LLC
Practice address
2553 Barry LN
Fort Collins, CO 80524-9366
Phone
(970) 689-6868
Fax
(970) 472-9381
NPI assigned
Aug 31, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Tammi Vacha-Haase, PHDNPI 1447362009
Title
Ceo/President
Phone
(970) 689-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2553 Barry LN
Fort Collins, CO 80524-9366

Mailing address

1236 E Elizabeth St
Suite 2
Fort Collins, CO 80524-4000
Phone (970) 488-1668

National Provider Directory

National Provider Directory

Locations

900 Worthington Cir
Fort Collins, CO 80526

C69 Ag Clark
Fort Collins, CO 80523
Phone (970) 491-5729

4800 W 25th St
Greeley, CO 80634
Phone (970) 330-6400

Practitioners & affiliated clinicians

Practitioners 7

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1356453922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-488-1668",
            "fax_number": "970-472-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 BARRY LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249366",
            "telephone_number": "970-689-6868",
            "fax_number": "970-472-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMI VACHA HAASE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "VACHA-HAASE",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "970-689-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.