Active NPI
Emily Peterman Cabano, PH.D.
- Clinical Psychologist
- Colo SPGS, CO
National Provider Identifier
1871303008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0006275
- Practice address
- 6547 N Academy Blvd # 1232
Colo SPGS, CO 80918-8342 - Phone
- (520) 248-1644
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0006275 | CO | Primary |
| Clinical Psychologist | 103TC0700X | 39776 | TX |
Addresses
Primary practice location
6547 N Academy Blvd # 1232
Colo SPGS, CO 80918-8342
Mailing address
6547 N Academy Blvd # 1232
Colo SPGS, CO 80918-8342
Phone (520) 248-1644
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0006275 | CO | MD | Clinical Psychologist |
| 39776 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1871303008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6547 N ACADEMY BLVD # 1232",
"city": "COLO SPGS",
"state": "CO",
"postal_code": "809188342",
"telephone_number": "520-248-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6547 N ACADEMY BLVD # 1232",
"city": "COLO SPGS",
"state": "CO",
"postal_code": "809188342",
"telephone_number": "520-248-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERMAN CABANO",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0006275",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39776",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colo SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.