Active NPI
Karen L Midyet PSYD PC
- Clinical Psychologist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1073
- Legal business name
- KAREN L MIDYET PSYD PC
- Practice address
- 2245 Merlot CT
Fort Collins, CO 80528-7048 - Phone
- (303) 944-5616
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen L Midyet, PSY.D.
- Title
- President
- Phone
- (303) 944-5616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1073 | CO | Primary |
Addresses
Primary practice location
2245 Merlot CT
Fort Collins, CO 80528-7048
Mailing address
2245 Merlot CT
Fort Collins, CO 80528-7048
Phone (303) 944-5616
Other names 2
- Colorado Senior Counseling
- DrKarenMidyet.com
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601001289 | CO | Part B Supplier - Clinic/Group Practice | 1254313612 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Collins, CO |
National Provider Directory
National Provider DirectoryLocations
2942 Evergreen Pkwy
Ste 302
Evergreen, CO 80439
Phone (303) 679-6106
29029 Upper Bear Creek Rd
Ste 302
Evergreen, CO 80439
Phone (303) 670-6501
4611 Plettner Ln
Ste 210
Evergreen, CO 80439
Phone (303) 520-7300
1260 Bergen Pkwy
Ste 200
Evergreen, CO 80439
Phone (303) 944-5616
445 Union Blvd
Ste 201
Lakewood, CO 80228
Phone (303) 759-3094
5181 Ward Rd
Unit 201
Wheat Ridge, CO 80033
Phone (303) 520-7300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1619087715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 MERLOT CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805287048",
"telephone_number": "303-944-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 MERLOT CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805287048",
"telephone_number": "303-944-5616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN L MIDYET PSYD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2023-09-06",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "MIDYET",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-944-5616",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Senior Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DrKarenMidyet.com",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 6, 2023; 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.