Megan Crista Oberholtzer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.00015343 Issued in CO

Practice address

2877 Main Ave Ste B
Durango, CO 81301-5935

Phone

(970) 749-6746

NPI assigned

Apr 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Therapy Collective LLC

  • Clinical Psychologist
  • Durango, CO
  • NPI 1487485843
  Medicare reassignment

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1942995063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 MAIN AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015935",
            "telephone_number": "970-749-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 MAIN AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015935",
            "telephone_number": "970-749-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHOLTZER",
        "first_name": "MEGAN",
        "middle_name": "CRISTA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSYC.00015343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Hearts LLC
• Casey O'Donnell, PTA
• Brigid O'Holleran, M.D.
• Oak Family Dentistry
• Oak Family Dentistry LLC
• Timothy John Obrien, C.P.O.
• Obstetrix Medical Group of Colorado, P.C.
• Frederick O Ochsner, MD
• Tiffany Ogden
• Ohana Physical Therapy LLC

• Clinical Psychologist in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.