The Interpersonal Healing Clinic, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY 3071 Issued in CO

Legal business name

THE INTERPERSONAL HEALING CLINIC, LLC

Practice address

1006 Depot Hill Rd
Suite D
Broomfield, CO 80020-6721

Phone

(303) 514-4058

Fax

(303) 482-1331

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Michelle Templeton, PH.D.NPI 1588780613

Title

Owner/Psychologist

Phone

(303) 514-4058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

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

• Lisa Michelle Templeton, PH.D.

  • Clinical Psychologist
  • Westminster, CO
  • NPI 1588780613
  Medicare reassignment NPD Authorized official
• John Whitney Steele, PH.D.

  • Clinical Psychologist
  • Boulder, CO
  • NPI 1194041251
  NPD (past)
• Wendy Kay Pollock, MA, LPC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1821365404
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1508187154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 DEPOT HILL RD",
            "address_2": "SUITE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206721",
            "telephone_number": "303-514-4058",
            "fax_number": "303-482-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 DEPOT HILL RD",
            "address_2": "SUITE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206721",
            "telephone_number": "303-514-4058",
            "fax_number": "303-482-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INTERPERSONAL HEALING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "TEMPLETON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-514-4058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "PSY 3071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.