Neurodevelopment Center of Colorado

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2843 Issued in CO

Legal business name

NEURODEVELOPMENT CENTER OF COLORADO

Practice address

608 E. Harmony #202
Fort Collins, CO 80525-3210

Phone

(970) 282-4428

Fax

(970) 282-4393

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aaron E Skalicky, PH.D.

Title

Owner / Licensed Psychologist

Phone

(970) 282-4428

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1376785907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E. HARMONY #202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253210",
            "telephone_number": "970-282-4428",
            "fax_number": "970-282-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E. HARMONY #202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253210",
            "telephone_number": "970-282-4428",
            "fax_number": "970-282-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMENT CENTER OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "SKALICKY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-282-4428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "2843",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CO",
            "license": "2843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Nettleton
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• Eric P Neufeld, CPO
• Anita Neuhoff, PA
• Celia Neuman
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• Neurology Specialists of the Rockies, LLC
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• Clinical Child & Adolescent Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Child & Adolescent Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.