Neuropsycholy of Colorado, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

20091576903 Issued in CO

Legal business name

NEUROPSYCHOLY OF COLORADO, LLC

Practice address

1776 Race St
#307
Denver, CO 80206-1159

Phone

(303) 880-7154

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cammy Lynn Chicota, PHD

Title

President

Phone

(303) 880-7154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1699087452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 RACE ST",
            "address_2": "#307",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061159",
            "telephone_number": "303-880-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 RACE ST",
            "address_2": "#307",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061159",
            "telephone_number": "303-880-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLY OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "CHICOTA",
        "authorized_official_first_name": "CAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-880-7154",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "20091576903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.