Active NPI
Molly Gierasch, PHD
- Psychologist
- Durango, CO
National Provider Identifier
1740479336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1916
- Practice address
- 1911 Main Ave
Ste 258
Durango, CO 81301-5083 - Phone
- (575) 534-2856
- NPI assigned
- Oct 18, 2007
- Last updated
- Apr 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1916 | CO | Primary |
Addresses
Primary practice location
1911 Main Ave
Ste 258
Durango, CO 81301-5083
Mailing address
52 Browns Lake Rd
Durango, CO 81303-7612
Phone (575) 534-2856
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1916 | CO | MD | Physical Therapist |
| 1113 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1740479336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BROWNS LAKE RD",
"city": "DURANGO",
"state": "CO",
"postal_code": "813037612",
"telephone_number": "575-534-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MAIN AVE",
"address_2": "STE 258",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015083",
"telephone_number": "575-534-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERASCH",
"first_name": "MOLLY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.