Robert Allan Banchero, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-3077 Issued in CO

Practice address

671 N Grant St
Denver, CO 80203-3506

Phone

(720) 290-5286

Fax

(303) 469-7375

NPI assigned

Sep 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1659568061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 N GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033506",
            "telephone_number": "720-290-5286",
            "fax_number": "303-469-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 N GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033506",
            "telephone_number": "720-290-5286",
            "fax_number": "303-469-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCHERO",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-29",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY-3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11952422",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92422764",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Balsiger, P.A.-C
• Kathleen Lois Baltz, D.D.S., M.S.
• Cali M Balusek
• Salwa Mourtada Bamba, NP
• Bamboo Holdings, LLC
• Hector Javier Banchs, MD
• Irina B Banfi-Mare, PSY.D.
• Ann Lorraine Banfield, M.A.
• Genie M Bang, M.D.
• Haley Iris Bangert, LMT

• Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.