Individual provider Active NPI

Tobin Joshua Haas, PSYD

  • Psychologist
  • Boulder, CO
National Provider Identifier
1629473186
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5400 Issued in CO
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

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 5400 CO Primary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310001483 CO Practitioner - Clinical Psychologist 7315310471 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5400COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Neuropsychological Services Clinical Neuropsychologist CurrentSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.