Organization Active NPI

Divinocounselingassociates

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1790224327
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0001359 Issued in CO
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

Updated by the provider on Feb 15, 2017

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY.0001359 CO
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.