Individual provider Active NPI

Sandra Blome-Downey, ED.S

  • School Psychologist
  • Golden, CO
National Provider Identifier
1376179382
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
215610 Issued in CO
Practice address
34121 Skyline Dr
Golden, CO 80403-8653
Phone
(248) 931-5769
NPI assigned
Mar 21, 2020
Last updated
Mar 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 215610 CO Primary

Addresses

Primary practice location

34121 Skyline Dr
Golden, CO 80403-8653

Mailing address

34121 Skyline Dr
Golden, CO 80403-8653
Phone (248) 931-5769

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
215610COMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1376179382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34121 SKYLINE DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038653",
            "telephone_number": "248-931-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 SKYLINE DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038653",
            "telephone_number": "248-931-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOME-DOWNEY",
        "first_name": "SANDRA",
        "credential": "ED.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "215610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.