Individual provider Active NPI

Holly Marie Schrier Paquette, PSY.D

  • Clinical Psychologist
  • Durango, CO
National Provider Identifier
1477647535
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005947 Issued in CO
Practice address
1099 Main Ave Ste 320
Durango, CO 81301-5159
Phone
(720) 387-8458
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0005947 CO Primary

Addresses

Primary practice location

1099 Main Ave Ste 320
Durango, CO 81301-5159

Mailing address

588 N Highway 287
Suite 200
Lafayette, CO 80026
Phone (720) 387-8458

Other practice location 1

588 N Highway 287
Suite 200
Lafayette, CO 80026
Phone (720) 387-8458

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
PSY.0005947COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD Psychologist CurrentSince Jan 14, 2024 Accepting new patients
Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD Psychologist Past Accepting new patients
Action Behavior Centers LLC Past Accepting new patients
Dr. Sunda Friedman Tebockhorst Psychological Services, LTD. Psychologist Past Accepting new patients

Locations

1099 Main Ave
Ste 320
Durango, CO 81301
Phone (720) 387-8458

1300 Plaza Ct N
Ste 103
Lafayette, CO 80026
Phone (412) 260-2140

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1477647535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N HIGHWAY 287",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "720-387-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MAIN AVE STE 320",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015159",
            "telephone_number": "720-387-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "588 N Highway 287",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "80026",
            "country_code": "US",
            "telephone_number": "720-387-8458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRIER PAQUETTE",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.