Organization Active NPI

Monte Atkinson, PH.D., P.C.

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1811243835
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
981 Issued in CO
Legal business name
MONTE ATKINSON, PH.D., P.C.
Practice address
2027 11TH St
Boulder, CO 80302-5101
Phone
(303) 444-2245
Fax
(303) 545-9803
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Dr. Monte Atkinson, PHDNPI 1063633642
Title
Psychologist
Phone
(303) 444-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 981 CO Primary

Addresses

Primary practice location

2027 11TH St
Boulder, CO 80302-5101

Mailing address

2027 11TH St
Boulder, CO 80302-5101
Phone (303) 444-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000385 CO Part B Supplier - Clinic/Group Practice 2163670001 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

2027 11th St
Boulder, CO 80302
Phone (303) 444-2245

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1811243835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 11TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025101",
            "telephone_number": "303-444-2245",
            "fax_number": "303-545-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 11TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025101",
            "telephone_number": "303-444-2245",
            "fax_number": "303-545-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE ATKINSON, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-444-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.