Allison M Hersh, PSYD
Individual provider Active NPI Psychologist · Ridgway, CO
NPI 1659645232 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1659645232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY.0005636 (CO)
- Practice address
- 295 Sherman St
Ridgway, CO 81432-8706 - Phone
- (970) 626-5123
- Fax
- (970) 249-5029
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
816 S 5TH St
Montrose, CO 81401-5765
Phone (970) 240-4311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230818002198 | CO | Practitioner - Clinical Psychologist | 3971814500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005636 | CO | MD | Psychologist |
| 9101783-2501 | UT | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Point Health LLC | Current |
Accepting new patients | |
| Great Salt Lake Wellness Inc | Past | Accepting new patients |
Locations
3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314
300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020
816 S 5th St
Montrose, CO 81401
Phone (970) 240-4311
2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136
295 Sherman St
Ridgway, CO 81432
Phone (970) 626-5123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005636 | CO | Yes |
| 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
Other providers in Ridgway, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.