Active NPI
Hans Walther Freyberg Foote, PSY.D.
- Clinical Psychologist
- Boulder, CO
National Provider Identifier
1639389950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3056
- Practice address
- 531 Arapahoe Ave
Boulder, CO 80302-5826 - Phone
- (720) 937-6443
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3056 | CO | Primary |
Addresses
Primary practice location
531 Arapahoe Ave
Boulder, CO 80302-5826
Mailing address
660 S 41St St
Boulder, CO 80305-5915
Phone (720) 937-6443
Other names 1
- Dr. Hans Walther Freyberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3056 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199145600000",
"number": "1639389950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S 41ST ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055915",
"telephone_number": "720-937-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025826",
"telephone_number": "720-937-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "HANS",
"middle_name": "WALTHER FREYBERG",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2008-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANS",
"last_name": "FREYBERG",
"middle_name": "WALTHER",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.