Individual provider Active NPI

Lauren Shomaker, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Fort Collins, CO
National Provider Identifier
1447614383
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY.0004005 Issued in CO
Practice address
410 Pitkin St
1570 Campus Delivery
Fort Collins, CO 80523-1570
Phone
(970) 491-1120
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY.0004005 CO Primary

Addresses

Primary practice location

410 Pitkin St
1570 Campus Delivery
Fort Collins, CO 80523-1570

Mailing address

410 Pitkin St
1570 Campus Delivery
Fort Collins, CO 80523-1570

Other names 1

  • Lauren Berger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912000070 CO Practitioner - Clinical Psychologist 8426344888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince Jul 9, 2016 Accepting new patients
University Physicians Incorporated CurrentSince Jul 9, 2016 Accepting new patients
Children's Hospital Colorado Past Accepting new patients
Colorado State University Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13123 E 16th Ave
Ste B10
Aurora, CO 80045

Dept 1061
Denver, CO 80256

Interoperability endpoints

  • Direct secure messaging: lshomaker51911@direct.childrenscolorado.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1447614383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PITKIN ST",
            "address_2": "1570 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PITKIN ST",
            "address_2": "1570 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231570",
            "telephone_number": "970-491-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMAKER",
        "first_name": "LAUREN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "PSY.0004005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BERGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.