Blue Spruce Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

292 Issued in CO

Legal business name

BLUE SPRUCE ASSOCIATES, INC.

Doing business as

Centennial Center for Human Services

Practice address

515 S. Sherwood St
Fort Collins, CO 80521-2842

Phone

(970) 221-0581

Fax

(970) 482-8541

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Pamela A. Gaynor, PH.D.

Title

Director, Clinical Psychologist

Phone

(970) 221-0581

Specialties & licenses 1

Addresses

Other names 1

• Centennial Center for Human Services Doing business as

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1629217484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S. SHERWOOD ST.",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212842",
            "telephone_number": "970-221-0581",
            "fax_number": "970-482-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S. SHERWOOD ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212842",
            "telephone_number": "970-221-0581",
            "fax_number": "970-482-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRUCE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-221-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Center for Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.