Organization Active NPI

Neuropsychological Consults of Northern Colorado LLC

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1851684013
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEUROPSYCHOLOGICAL CONSULTS OF NORTHERN COLORADO LLC
Practice address
155 Boardwalk Dr
Suite 418
Fort Collins, CO 80525-3040
Phone
(970) 631-7133
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Barbara Lynne St Clair, PSYD
Title
Owner
Phone
(970) 631-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

155 Boardwalk Dr
Suite 418
Fort Collins, CO 80525-3040

Mailing address

PO Box 7219
Gillette, WY 82717-7219
Phone (970) 631-7133

National Provider Directory

National Provider Directory

Locations

1236 E Elizabeth St
Ste 2
Fort Collins, CO 80524
Phone (970) 221-9970

155 Boardwalk Dr
Ste 418
Fort Collins, CO 80525
Phone (970) 631-7133

Practitioners & affiliated clinicians

Practitioners 2

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": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1851684013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7219",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827177219",
            "telephone_number": "970-631-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BOARDWALK DR",
            "address_2": "SUITE 418",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253040",
            "telephone_number": "970-631-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL CONSULTS OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "ST CLAIR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-631-7133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 2014; 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.