Organization Active NPI

Karen L Midyet PSYD PC

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1619087715
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1073 Issued in CO
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

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Karen L Midyet, PSY.D.NPI 1144419490
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • DrKarenMidyet.com Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.