NPIMap

Organization Active NPI

Hueblpsych, PC

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1750654976
Registry record updated Feb 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 2478 Issued in CO
Legal business name
HUEBLPSYCH, PC
Practice address
300 Boardwalk Dr
5-A
Fort Collins, CO 80525-3070
Phone
(970) 223-2256
Fax
(970) 223-2324
NPI assigned
Feb 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2012

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

Authorized official

Name
Dr. Joan E. Huebl, PSY.D.
Title
President
Phone
(970) 223-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 2478 CO Primary

Addresses

Primary practice location

300 Boardwalk Dr
5-A
Fort Collins, CO 80525-3070

Mailing address

300 Boardwalk Dr
5-A
Fort Collins, CO 80525-3070
Phone (970) 223-2256

Other identifiers 1

IdentifierTypeStateIssuer
48353248MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329523200000",
    "number": "1750654976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR",
            "address_2": "5-A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253070",
            "telephone_number": "970-223-2256",
            "fax_number": "970-223-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR",
            "address_2": "5-A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253070",
            "telephone_number": "970-223-2256",
            "fax_number": "970-223-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEBLPSYCH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-18",
        "last_updated": "2012-02-18",
        "status": "A",
        "authorized_official_last_name": "HUEBL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-223-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY 2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48353248",
            "state": "CO"
        }
    ],
    "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 Feb 18, 2012; 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.