NPIMap

Organization Active NPI

Neuro Care of the Rockies, PC

  • Clinical Neuropsychologist
  • Littleton, CO
National Provider Identifier
1720195142
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2197 Issued in CO
Legal business name
NEURO CARE OF THE ROCKIES, PC
Practice address
24 Mountain Laurel Dr
Littleton, CO 80127-2215
Phone
(303) 932-9404
Fax
(303) 932-2160
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Ms. Jessica Freitag
Title
Billing Manager
Phone
(970) 686-0970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 2197 CO Primary

Addresses

Primary practice location

24 Mountain Laurel Dr
Littleton, CO 80127-2215

Mailing address

24 Mountain Laurel Dr
Littleton, CO 80127-2215
Phone (303) 932-9404

Other identifiers 1

IdentifierTypeStateIssuer
04021234MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1720195142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MOUNTAIN LAUREL DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801272215",
            "telephone_number": "303-932-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MOUNTAIN LAUREL DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801272215",
            "telephone_number": "303-932-9404",
            "fax_number": "303-932-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO CARE OF THE ROCKIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "970-686-0970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021234",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.