Individual provider Active NPI

Cmaureen Cole, PSYD, PHD

  • Clinical Psychologist
  • Broomfield, CO
National Provider Identifier
1740384114
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY2080 Issued in CO
Practice address
2095 W 6TH Ave Ste 206
Broomfield, CO 80020-1880
Phone
(303) 252-0500
Fax
(720) 668-8954
NPI assigned
Sep 7, 2006
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2080 CO
Clinical Psychologist 103TC0700X PSY2080 CO Primary

Addresses

Primary practice location

2095 W 6TH Ave Ste 206
Broomfield, CO 80020-1880

Mailing address

2095 W 6TH Ave Ste 206
Broomfield, CO 80020-1880
Phone (303) 252-0500

Other identifiers 1

IdentifierTypeStateIssuer
07020803MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY2080COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1740384114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE STE 206",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201880",
            "telephone_number": "303-252-0500",
            "fax_number": "720-668-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE STE 206",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201880",
            "telephone_number": "303-252-0500",
            "fax_number": "720-668-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CMAUREEN",
        "name_prefix": "Dr.",
        "credential": "PSYD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2080",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07020803",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.