Active NPI
Insight Psychology, LLC
- Community/Behavioral Health Agency
- Evergreen, CO
National Provider Identifier
1700321833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PSY.0004027
- Legal business name
- INSIGHT PSYCHOLOGY, LLC
- Practice address
- 4611 Plettner LN
Ste. 100
Evergreen, CO 80439-7396 - Phone
- (720) 443-3112
- NPI assigned
- Dec 28, 2016
- Last updated
- Dec 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Crystal Wildes, PSY.D.
- Title
- Psychologist
- Phone
- (720) 443-3112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PSY.0004027 | CO | Primary |
Addresses
Primary practice location
4611 Plettner LN
Ste. 100
Evergreen, CO 80439-7396
Mailing address
4611 Plettner LN
Ste. 100
Evergreen, CO 80439-7396
National Provider Directory
National Provider Directory- Tax ID family
- Insight Psychology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Evergreen, CO
- NPI 1962366880
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Psychologist
- Evergreen, CO
- NPI 1003121898
-
- Counselor
- Evergreen, CO
- NPI 1750204673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482883200000",
"number": "1700321833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 PLETTNER LN",
"address_2": "STE. 100",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 PLETTNER LN",
"address_2": "STE. 100",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397396",
"telephone_number": "720-443-3112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT PSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A",
"authorized_official_last_name": "WILDES",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "720-443-3112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "PSY.0004027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
- Makayla Joy Hughes, BT
- Brandie Marie Hunter-Grinbank, LPC, MSC, CTP
- James D Hutcherson, MD
- Maren Hutter-Edwards
- Innate Potential (Innate Potential Therapy)
- Insight Psychology, LLC
- Intermountain Medical Group Denver, LLC (SCL Health Heart & Vascular Institute - Evergreen)
- Riley Irwin, DPT
- Justin Jacapraro, DPT
- Charis Jaeger, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.