Individual provider Active NPI

Nathan Kyle Swisher, PSY.D.

  • Clinical Psychologist
  • Greeley, CO
National Provider Identifier
1871721365
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0003840 Issued in CO
Practice address
8217 W 20TH St Ste a
Greeley, CO 80634
Phone
(970) 353-2000
Fax
(970) 356-4827
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0003840 CO Primary

Addresses

Primary practice location

8217 W 20TH St Ste a
Greeley, CO 80634

Mailing address

8217 W 20TH St Ste a
Greeley, CO 80634-3033
Phone (970) 353-2000

Other practice location 1

8217 W 20th St Ste A
Greeley, CO 80634
Phone (970) 353-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130313000536 CO Practitioner - Clinical Psychologist 3476798760 Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8217 W 20TH St
Suite a
Greeley, CO 80634-3033
Phone (970) 353-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003840COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Management, LLC Past Accepting new patients
Aspen View Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1871721365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 W 20TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343033",
            "telephone_number": "970-353-2000",
            "fax_number": "970-356-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 W 20TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-353-2000",
            "fax_number": "970-356-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8217 W 20th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "80634",
            "country_code": "US",
            "telephone_number": "970-353-2000",
            "fax_number": "970-356-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "NATHAN",
        "middle_name": "KYLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0003840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.