Befullyalive Psychotherapy PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BEFULLYALIVE PSYCHOTHERAPY PLLC

Practice address

3005 47TH St Ste F4
Boulder, CO 80301-5550

Phone

(408) 997-1866

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Claudia Hartke, PHDNPI 1003241480

Title

Owner

Phone

(408) 997-1866

Specialties & licenses 1

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.

• Claudia Hartke, PH.D., SEP

  • Psychologist
  • Boulder, CO
  • NPI 1003241480
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1467039834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 BROADWAY ST STE 103 PMB 153",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 47TH ST STE F4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015550",
            "telephone_number": "408-997-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEFULLYALIVE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HARTKE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-997-1866",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000180481",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ema Beilke, LCSW
• Eve Chantelle Beilovei, BGS, MA, LPCC, LMT

• 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 Mar 24, 2021; 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.