Cherie Renee Breda, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3621 Issued in CO

Practice address

19731 E Pikes Peak CT
Suite 202
Parker, CO 80138-7401

Phone

(314) 225-7695

Fax

(303) 841-6571

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cherie Breda Harris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1487795688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19731 E PIKES PEAK CT",
            "address_2": "SUITE 202",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387401",
            "telephone_number": "314-225-7695",
            "fax_number": "303-841-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19731 E PIKES PEAK CT",
            "address_2": "SUITE 202",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387401",
            "telephone_number": "314-225-7695",
            "fax_number": "303-841-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDA",
        "first_name": "CHERIE",
        "middle_name": "RENEE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "HARRIS",
            "middle_name": "BREDA",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joyce Hartman Brantley, RN
• Alexander James Brateman, PT, DPT
• Chad Bratten, PHARMD
• Rebecca Braver, PA-C
• Breakthru RX LLC
• Amy Breen, PA-C
• Meredith L. Bremner, P.T., D.P.T.
• Lee Andrew Breshears, DVM, PHD, DACVS
• Tara Breske, DC
• Barbara Breslin, PT

• Clinical Psychologist in Parker, CO
• Providers in Parker, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.