Active NPI
David Phillips Cantrell, PH.D.
- School Psychologist
- Fort Collins, CO
National Provider Identifier
1962476408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0219590
- Practice address
- 112 S College Ave
Suite 200
Fort Collins, CO 80524-3184 - Phone
- (970) 407-2959
- Fax
- (970) 482-7300
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0219590 | CO | Primary |
Addresses
Primary practice location
112 S College Ave
Suite 200
Fort Collins, CO 80524-3184
Mailing address
112 S College Ave
Suite 200
Fort Collins, CO 80524-3184
Phone (970) 407-2959
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 |
|---|---|---|---|
| 0219590 | CO | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962476408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S COLLEGE AVE",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243184",
"telephone_number": "970-407-2959",
"fax_number": "970-482-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S COLLEGE AVE",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243184",
"telephone_number": "970-407-2959",
"fax_number": "970-482-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "DAVID",
"middle_name": "PHILLIPS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "0219590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.