Organization Active NPI

Dr. Michelle C Winston

  • Clinical Neuropsychologist
  • Niwot, CO
National Provider Identifier
1710083969
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1314 Issued in CO
Legal business name
DR. MICHELLE C WINSTON
Practice address
6375 Eagle Court
Niwot, CO 80503-8331
Phone
(303) 444-1655
Fax
(303) 444-8781
NPI assigned
Sep 15, 2006
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Michelle C Winston, PSY.D.NPI 1740383660
Title
President
Phone
(303) 444-1655

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1314 CO Primary
Psychologist 103T00000X 1314 CO
Clinical Psychologist 103TC0700X 1314 CO

Addresses

Primary practice location

6375 Eagle Court
Niwot, CO 80503-8331

Mailing address

PO Box 21405
Boulder, CO 80308-4405
Phone (303) 444-1655

Other identifiers 1

IdentifierTypeStateIssuer
07131402MedicaidCO

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1710083969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21405",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084405",
            "telephone_number": "303-444-1655",
            "fax_number": "303-444-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 EAGLE COURT",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038331",
            "telephone_number": "303-444-1655",
            "fax_number": "303-444-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHELLE C WINSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-444-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1314",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1314",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07131402",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niwot, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.