Active NPI
Tobin Joshua Haas, PSYD
- Psychologist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5400
- Practice address
- 1910 7TH St
Boulder, CO 80302 - Phone
- (720) 432-4678
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5400 | CO | Primary |
| Clinical Neuropsychologist | 103G00000X | 5400 | CO |
Addresses
Primary practice location
1910 7TH St
Boulder, CO 80302
Mailing address
37 Canyon View Rd
Boulder, CO 80302-9634
Phone (510) 908-0980
Other practice location 1
1890 N Revere Ct
Aurora, CO 80045-7464
Phone (303) 724-1669
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1800 30TH St
Suite 222
Boulder, CO 80301-1088
Phone (303) 351-2553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5400 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Neuropsychological Services | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
1800 30th St
Ste 213
Boulder, CO 80301
Phone (303) 351-2314
1800 30th St
Ste 222
Boulder, CO 80301
Phone (303) 351-2553
1910 7th St
Boulder, CO 80302
Phone (303) 847-5356
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.
-
- Clinical Neuropsychologist
- Boulder, CO
- NPI 1710607031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1629473186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CANYON VIEW RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029634",
"telephone_number": "510-908-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 7TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "80302",
"telephone_number": "720-432-4678"
}
],
"practiceLocations": [
{
"address_1": "1890 N Revere Ct",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457464",
"country_code": "US",
"telephone_number": "303-724-1669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAS",
"first_name": "TOBIN",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CO",
"license": "5400",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "5400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.