Active NPI
Patricia Fiske Ridley, PH.D.
- Psychologist
- Conifer, CO
National Provider Identifier
1588051676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2667
- Practice address
- 26697B Pleasant Park Rd
Ste 250
Conifer, CO 80433-7739 - Phone
- (303) 818-1313
- NPI assigned
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2667 | CO | Primary |
Addresses
Primary practice location
26697B Pleasant Park Rd
Ste 250
Conifer, CO 80433-7739
Mailing address
26697B Pleasant Park Rd
Ste 250
Conifer, CO 80433-7739
Phone (303) 818-1313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867042 | Other | CO | BEACON HEALTH |
| 77030257 | Other | CO | HEALTH FIRST COLORADO MEDICAID |
Other names 1
- Ms. Patricia Marie Fisk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2667 | CO | MD | Acupuncturist |
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.
-
- Psychologist
- Conifer, CO
- NPI 1972971729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1588051676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26697B PLEASANT PARK RD",
"address_2": "STE 250",
"city": "CONIFER",
"state": "CO",
"postal_code": "804337739",
"telephone_number": "303-818-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26697B PLEASANT PARK RD",
"address_2": "STE 250",
"city": "CONIFER",
"state": "CO",
"postal_code": "804337739",
"telephone_number": "303-818-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDLEY",
"first_name": "PATRICIA",
"middle_name": "FISKE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "867042",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST COLORADO MEDICAID",
"identifier": "77030257",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "FISK",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.