Individual provider Active NPI

Stephanie Kate Allred, PHD

  • Clinical Psychologist
  • Durango, CO
National Provider Identifier
1710171046
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3258 Issued in CO
Practice address
281 Sawyer Dr
Durango, CO 81303-3409
Phone
(970) 259-2162
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Psychologist 103TC0700X 3258 CO Primary

Addresses

Primary practice location

281 Sawyer Dr
Durango, CO 81303-3409

Mailing address

281 Sawyer Dr
Durango, CO 81303-3409
Phone (970) 259-2162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000324 CO Practitioner - Clinical Psychologist 4981769205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc Current Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients

Locations

691 E Empire St
Cortez, CO 81321
Phone (970) 335-2232

107 W 11th St
Delta, CO 81416
Phone (970) 874-8981

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

281 Sawyer Dr
Ste 100
Durango, CO 81303
Phone (970) 259-2162

1125 Three Springs Blvd
Durango, CO 81301
Phone (970) 403-0180

150 Mercury Village Dr
Durango, CO 81301
Phone (970) 335-2342

300 N Cascade Ave
Ste A
Montrose, CO 81401
Phone (970) 252-3203

605 Miami Rd
Montrose, CO 81401
Phone (970) 249-9694

Interoperability endpoints

  • Direct secure messaging: stephanie.allred.p1@direct.ahs.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Axis Health SystemCortez, CO, CCN 061956 Federally qualified health center Operational/Managerial Control Jan 1, 2010
Axis Health SystemPagosa Springs, CO, CCN 061028 Federally qualified health center Corporate Director Jun 26, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1710171046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-259-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813033409",
            "telephone_number": "970-259-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "STEPHANIE",
        "middle_name": "KATE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.