Active NPI
Lori Ann Perrin, PH.D.
- Psychologist
- Fort Collins, CO
National Provider Identifier
1730369067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2243
- Practice address
- 503 Remington St Ste 104
Fort Collins, CO 80524-3089 - Phone
- (970) 690-9592
- Fax
- (970) 353-7888
- NPI assigned
- Nov 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2243 | CO | |
| Psychologist | 103T00000X | 2243 | CO | Primary |
Addresses
Primary practice location
503 Remington St Ste 104
Fort Collins, CO 80524-3089
Mailing address
1303 31St Ave
Greeley, CO 80634-6327
Phone (970) 690-9592
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090820000116 | CO | Practitioner - Clinical Psychologist | 9032263454 | Practice locations: Fort Collins, CO; Greeley, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1303 31St Ave
Greeley, CO 80634-6327
Phone (970) 690-9592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1730369067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 31ST AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346327",
"telephone_number": "970-690-9592",
"fax_number": "970-353-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 REMINGTON ST STE 104",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243089",
"telephone_number": "970-690-9592",
"fax_number": "970-353-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIN",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-03",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CO",
"license": "2243",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.