Individual provider Active NPI

Anne Smith Cabanilla, PSYD

  • Psychologist
  • Estes Park, CO
National Provider Identifier
1821141045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3050 Issued in CO
Practice address
356 East Elkhorn Avenue
Suite 9
Estes Park, CO 80517
Phone
(970) 586-1090
Fax
(970) 586-1091
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3050 CO Primary

Addresses

Primary practice location

356 East Elkhorn Avenue
Suite 9
Estes Park, CO 80517

Mailing address

356 East Elkhorn Avenue
PO Box 3942
Estes Park, CO 80517
Phone (970) 586-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anne S. Cabanilla, Psy.D., Inc. PastSince Sep 26, 2010 Accepting new patients
Alpine Counseling Services, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821141045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 EAST ELKHORN AVENUE",
            "address_2": "PO BOX 3942",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "80517",
            "telephone_number": "970-586-1090",
            "fax_number": "970-586-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 EAST ELKHORN AVENUE",
            "address_2": "SUITE 9",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "80517",
            "telephone_number": "970-586-1090",
            "fax_number": "970-586-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANILLA",
        "first_name": "ANNE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.