Organization Active NPI

Switchback Psychology, PLLC

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1912732777
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SWITCHBACK PSYCHOLOGY, PLLC
Practice address
1800 30TH St Ste 212
Boulder, CO 80301-1087
Phone
(720) 340-3441
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Martha Bautista-Biddle, LPNPI 1679092977
Title
Clinical Psychologist
Phone
(914) 886-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1800 30TH St Ste 212
Boulder, CO 80301-1087

Mailing address

1800 30TH St Ste 212
Boulder, CO 80301-1087
Phone (720) 340-3441

National Provider Directory

National Provider Directory

Locations

1800 30th St
Ste 212
Boulder, CO 80301
Phone (720) 340-3441

Practitioners & affiliated clinicians

Practitioners 1

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": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1912732777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 212",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011087",
            "telephone_number": "720-340-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 212",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011087",
            "telephone_number": "720-340-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWITCHBACK PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-BIDDLE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "914-886-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.