Individual provider Active NPI

Jana Moran Cyr, LCSW

  • Psychologist
  • Lakewood, CO
National Provider Identifier
1669553442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
986091 Issued in CO
Practice address
720 Kipling Street
Suite 210
Lakewood, CO 80215-5866
Phone
(303) 237-9205
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 986091 CO Primary

Addresses

Primary practice location

720 Kipling Street
Suite 210
Lakewood, CO 80215-5866

Mailing address

720 Kipling Street
Suite 210
Lakewood, CO 80215-5866
Phone (303) 237-9205

Other names 1

  • Jana Alane Moran Former name

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
I20041004000476 CO Practitioner - Clinical Social Worker 0446219760 Practice locations: Lakewood, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Kipling St
Lakewood, CO 80215-5866
Phone (303) 237-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
986091COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669553442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KIPLING STREET",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155866",
            "telephone_number": "303-237-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KIPLING STREET",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155866",
            "telephone_number": "303-237-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "JANA",
        "middle_name": "MORAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "986091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "MORAN",
            "middle_name": "ALANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.