Active NPI
Divinocounselingassociates
- Clinical Psychologist
- Boulder, CO
National Provider Identifier
1790224327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0001359
- Legal business name
- DIVINOCOUNSELINGASSOCIATES
- Practice address
- 1455 Yarmouth Ave
Suite 112
Boulder, CO 80304-4371 - Phone
- (303) 440-8810
- Fax
- (303) 484-3100
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia L Divino, PH.D.
- Title
- Director
- Phone
- (303) 440-8810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0001359 | CO | |
| Clinical Psychologist | 103TC0700X | PSY.0001359 | CO | Primary |
Addresses
Primary practice location
1455 Yarmouth Ave
Suite 112
Boulder, CO 80304-4371
Mailing address
1455 Yarmouth Ave
Suite 112
Boulder, CO 80304-4371
Phone (303) 440-8810
Other names 1
- Cynthia L Divino, Ph.D.
National Provider Directory
National Provider DirectoryLocations
1455 Yarmouth Ave
Ste 112
Boulder, CO 80304
Phone (303) 449-7414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1790224327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 YARMOUTH AVE",
"address_2": "SUITE 112",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044371",
"telephone_number": "303-440-8810",
"fax_number": "303-484-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 YARMOUTH AVE",
"address_2": "SUITE 112",
"city": "BOULDER",
"state": "CO",
"postal_code": "803044371",
"telephone_number": "303-440-8810",
"fax_number": "303-484-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINOCOUNSELINGASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "DIVINO",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "303-440-8810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0001359",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0001359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cynthia L Divino, Ph.D.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.