Active NPI
Barry R Lindstrom, PH.D
- School Psychologist
- Greeley, CO
National Provider Identifier
1508975467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0308917
- Practice address
- 3211 W 20TH St
Suite D
Greeley, CO 80634-6565 - Phone
- (970) 356-3100
- Fax
- (970) 356-4827
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1303 | CO | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1303 | CO | |
| School Psychologist | 103TS0200X | 0308917 | CO | Primary |
Addresses
Primary practice location
3211 W 20TH St
Suite D
Greeley, CO 80634-6565
Mailing address
3211 W 20TH St
Suite D
Greeley, CO 80634-6565
Phone (970) 356-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060747 | Other | CO | VALUE OPTIONS |
| 07013030 | Medicaid | CO | |
| 643344 | Other | CO | BLUE CROSS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0308917 | CO | MD | School Psychologist |
| 1303 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Management, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeley, CO
- NPI 1225147119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508975467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 W 20TH ST",
"address_2": "SUITE D",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346565",
"telephone_number": "970-356-3100",
"fax_number": "970-356-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 W 20TH ST",
"address_2": "SUITE D",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346565",
"telephone_number": "970-356-3100",
"fax_number": "970-356-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSTROM",
"first_name": "BARRY",
"middle_name": "R",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1303",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "1303",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "0308917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "060747",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07013030",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "643344",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.