Individual provider Active NPI

Allison M Hersh, PSYD

  • Psychologist
  • Ridgway, CO
National Provider Identifier
1659645232
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0005636 Issued in CO
Practice address
295 Sherman St
Ridgway, CO 81432-8706
Phone
(970) 626-5123
Fax
(970) 249-5029
NPI assigned
Feb 29, 2012
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0005636 CO Primary
Clinical Child & Adolescent Psychologist 103TC2200X 9101783-2501 UT

Addresses

Primary practice location

295 Sherman St
Ridgway, CO 81432-8706

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 240-6136

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
I20230818002198 CO Practitioner - Clinical Psychologist 3971814500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

816 S 5TH St
Montrose, CO 81401-5765
Phone (970) 240-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0005636COMDPsychologist
9101783-2501UTMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC CurrentSince Sep 12, 2023 Accepting new patients
Great Salt Lake Wellness Inc Past Accepting new patients

Locations

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

816 S 5th St
Montrose, CO 81401
Phone (970) 240-4311

295 Sherman St
Ridgway, CO 81432
Phone (970) 626-5123

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1659645232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-240-6136",
            "fax_number": "970-541-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SHERMAN ST",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814328706",
            "telephone_number": "970-626-5123",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0005636",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "UT",
            "license": "9101783-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, CO

Sources for this page

Verify at the official NPI Registry.