Southpointe Family Resource Center, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

445 Issued in NE

Legal business name

SOUTHPOINTE FAMILY RESOURCE CENTER, P.C.

Practice address

4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504

Phone

(402) 432-3629

Fax

(303) 200-7218

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karen Kay Sharer-Mohatt, PSYD

Title

President

Phone

(402) 432-3629

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Karen Sharer-Mohatt, PsyD PC Other name

Practitioners 4

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

• Molly Marie Burns, PSY.D

  • Clinical Psychologist
  • Lincoln, NE
  • NPI 1023191202
  NPD (past)
• Audrey Mae Frederickson, PSY D

  • Clinical Psychologist
  • Mound, MN
  • NPI 1689681298
  NPD (past)
• Carry L Green, MA LMHP LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1447318282
  NPD (past)
• Jenina Shaw Lepard, LICSW

  • Clinical Social Worker
  • Lincoln, NE
  • NPI 1649258435
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1699822981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SHORT DR",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805145040",
            "telephone_number": "402-432-3629",
            "fax_number": "303-200-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 TABLE MESA DR STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803054504",
            "telephone_number": "402-432-3629",
            "fax_number": "303-200-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE FAMILY RESOURCE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SHARER-MOHATT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-432-3629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114002102",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "27350",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "098990",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982293734",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP  NPI",
            "identifier": "1699822971",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Sharer-Mohatt, PsyD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alyssa Marie Spampinato, NONE
• Rye Lynne Spanton, LPCC
• Carol Spar, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.