Western Slope Innerchange

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1490 Issued in CO

Legal business name

WESTERN SLOPE INNERCHANGE

Practice address

115 Grand Ave Ste 1
Delta, CO 81416-2017

Phone

(970) 874-0875

Fax

(970) 874-5443

NPI assigned

Jun 27, 2007

Last updated

May 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda K Holland, PHDNPI 1942276191

Title

President

Phone

(970) 874-0875

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda K Holland, PHD

  • Psychologist
  • Delta, CO
  • NPI 1942276191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1568668341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRAND AVE STE 1",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162017",
            "telephone_number": "970-874-0875",
            "fax_number": "970-874-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GRAND AVE STE 1",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162017",
            "telephone_number": "970-874-0875",
            "fax_number": "970-874-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SLOPE INNERCHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-874-0875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3712",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MEDICAID NUMBER",
            "identifier": "035354",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07014905",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel L Watts, LPCC
• Willyn Webb, LPC
• Hetta Welch, LMT
• Lloyd Dean Wenzel, DDS
• Lorri Lynn Wesson, MA, LPC
• Lisa Wheaton, RN
• Monica Whelan
• Alicia Whittemore
• Kaile Mystique Widner, MSW
• Andrea Wilhelm

• Psychologist in Delta, CO
• Providers in Delta, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.