NPIMap

Organization Active NPI

Psychological Services, P.C.

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1679522817
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
633 AND 1746 Issued in CO
Legal business name
PSYCHOLOGICAL SERVICES, P.C.
Practice address
613 Walnut St
Boulder, CO 80302-5031
Phone
(303) 443-1223
Fax
(303) 473-9153
NPI assigned
May 6, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Joan C. Soper, PH.D.NPI 1962460667
Title
VP
Phone
(303) 443-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 633 AND 1746 CO Primary

Addresses

Primary practice location

613 Walnut St
Boulder, CO 80302-5031

Mailing address

613 Walnut St
Boulder, CO 80302-5031
Phone (303) 443-1223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1679522817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-443-1223",
            "fax_number": "303-473-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-443-1223",
            "fax_number": "303-473-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "303-443-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "633 AND 1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2011; 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.