Organization Active NPI

Liza York, PH.D., LPPC

  • Clinical Psychologist
  • Longmont, CO
National Provider Identifier
1750579579
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2475 Issued in CO
Legal business name
LIZA YORK, PH.D., LPPC
Practice address
703 3Rd Ave
Suite C
Longmont, CO 80501-5996
Phone
(303) 875-4158
Fax
(303) 776-7631
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Liza L York, PH.D.
Title
Licensed Clinical Psychologist
Phone
(303) 875-4158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2475 CO Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2475 CO

Addresses

Primary practice location

703 3Rd Ave
Suite C
Longmont, CO 80501-5996

Mailing address

703 3Rd Ave
Suite C
Longmont, CO 80501-5996
Phone (303) 875-4158

National Provider Directory

National Provider Directory

Locations

703 3rd Ave
Ste C
Longmont, CO 80501
Phone (303) 875-4158

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1750579579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 3RD AVE",
            "address_2": "SUITE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015996",
            "telephone_number": "303-875-4158",
            "fax_number": "303-776-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 3RD AVE",
            "address_2": "SUITE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015996",
            "telephone_number": "303-875-4158",
            "fax_number": "303-776-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA YORK, PH.D., LPPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-875-4158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2475",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "2475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.