Boulder Valley Psychotherapy Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BOULDER VALLEY PSYCHOTHERAPY INC.

Practice address

1800 30TH St Ste 212
Boulder, CO 80301-1087

Phone

(720) 591-6444

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Heather T Whittall, PSYDNPI 1154637189

Title

President/Psychologist

Phone

(720) 591-4664

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Heather T Whittall, PSYD

  • Psychologist
  • Boulder, CO
  • NPI 1154637189
  NPD Authorized official

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1407347487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SIMPSON ST. #104",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262359",
            "telephone_number": "720-591-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 212",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011087",
            "telephone_number": "720-591-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER VALLEY PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "WHITTALL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-591-4664",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79600573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Valley Gastroenterology Inc.
• Boulder Valley Hearing Associates Inc
• Boulder Valley Orthodontics, PLLC
• Boulder Valley Pathology P C
• Boulder Valley Plastic Surgery Inc.
• Boulder Valley Pulmonology
• Boulder Valley School District Re 2
• Boulder Valley Women'S Health Center, Inc.
• Boulder Vision Associates, P.C., Inc.
• Boulder Wellness Counseling, PLLC

• 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 Dec 26, 2024; 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.