Organization Active NPI

Redwood Psychology, PLLC

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1740167691
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
REDWOOD PSYCHOLOGY, PLLC
Practice address
2995 Baseline Rd Ste 202
Boulder, CO 80303-2318
Phone
(720) 900-1090
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Dr. Ryan Poling, PSYD
Title
Founder and Owner
Phone
(720) 900-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2995 Baseline Rd Ste 202
Boulder, CO 80303-2318

Mailing address

2995 Baseline Rd Ste 202
Boulder, CO 80303-2318
Phone (720) 900-1090

National Provider Directory

National Provider Directory

Locations

2995 Baseline Rd
Ste 202
Boulder, CO 80303
Phone (720) 900-1090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1740167691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "720-900-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "720-900-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "720-900-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.