Individual provider Active NPI

Cori Ann Stepek, PH.D.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1528373933
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2458 Issued in CO
Practice address
2629 Redwing Rd Ste 112
Fort Collins, CO 80526-2879
Phone
(970) 568-8600
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 2458 CO Primary

Addresses

Primary practice location

2629 Redwing Rd Ste 112
Fort Collins, CO 80526-2879

Mailing address

5115 Hogan CT
Fort Collins, CO 80528-8801
Phone (970) 217-1383

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

LicenseStateTypeSpecialty
2458COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Neurobehavioral Health, LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

2629 Redwing Rd
Ste 112
Fort Collins, CO 80526
Phone (970) 239-3553

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1528373933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 HOGAN CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288801",
            "telephone_number": "970-217-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 REDWING RD STE 112",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262879",
            "telephone_number": "970-568-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPEK",
        "first_name": "CORI ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.