J. Blair Cano, PSYD, MSCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

J. BLAIR CANO, PSYD, MSCP

Practice address

77 3Rd St # 400
Monument, CO 80132-8179

Phone

(719) 964-8953

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Hetrick-Cano, PSYD, MSCPNPI 1730444142

Title

Owner

Phone

(719) 964-8953

Specialties & licenses 1

Addresses

Other names 2

• Cano Consulting Doing business as
• J. Blair Cano, PsyD, MSCP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Blair Hetrick-Cano, PSYD, MSCP

  • Psychologist
  • Colorado Springs, CO
  • NPI 1730444142

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1689282444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 WOOD AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076715",
            "telephone_number": "719-964-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 3RD ST # 400",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328179",
            "telephone_number": "719-964-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BLAIR CANO, PSYD, MSCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HETRICK-CANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-964-8953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MSCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cano Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J. Blair Cano, PsyD, MSCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayle A Humm, M.D.
• Dekka Hunley, COTA/L
• Felicity Jamie Hyatt
• Marie Elizabeth Hynek, OTD, OTR/L
• Innova Recovery Services, LLC
• Dylan Alexander Jachimek
• Jackson Creek Assisted Living, LLC
• Jackson Creek Dental Care, P.C.
• Catherine Jackson
• Jenna Jackson, LPC

• Clinical Psychologist in Monument, CO
• Providers in Monument, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.