Colin Joseph Psychologist PHD PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COLIN JOSEPH PSYCHOLOGIST PHD PLLC

Practice address

1666 W Pine Cone Way
Prescott, AZ 86303-6123

Phone

(928) 499-8405

Fax

(928) 227-2574

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Lou Shannon-Joseph

Title

Office Manager

Phone

(928) 499-8405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Colin R Joseph, PH.D.

  • Clinical Psychologist
  • Prescott, AZ
  • NPI 1053577999
  Medicare reassignment NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1851969117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 W PINE CONE WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036123",
            "telephone_number": "928-499-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 W PINE CONE WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036123",
            "telephone_number": "928-499-8405",
            "fax_number": "928-227-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN JOSEPH PSYCHOLOGIST PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SHANNON-JOSEPH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-499-8405"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren L Coates, RPH
• Cognitive Function Development Institute, Inc.
• Jean Marie Colella, ANP
• Jennifer Jaulane Coletta
• Colibri Counseling & Consulting, PLLC
• Edward Allen Collacott, M.D
• Daniel John Collins, MD
• Michael D Collins, MA, LPC, LISAC
• Penny Collins, LPC, NCC
• William Brent Collins

• Adult Mental Health Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.