Colorado Center for Biobehavioral Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

322 Issued in CO

Legal business name

COLORADO CENTER FOR BIOBEHAVIORAL HEALTH

Practice address

1229 Kalmia Ave
Boulder, CO 80304-1810

Phone

(303) 449-8815

Fax

(720) 524-6965

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Carol J Schneider, PHD

Title

Director

Phone

(303) 449-2364

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1912174459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 KALMIA AVE.",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041310",
            "telephone_number": "303-449-8815",
            "fax_number": "720-524-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 KALMIA AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041810",
            "telephone_number": "303-449-8815",
            "fax_number": "720-524-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR BIOBEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-449-2364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "322",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "16419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boulder, CO
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• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.