Paris B. Obdan, NLC

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

NLC.0111174 Issued in CO

Practice address

911 16TH St Apt 3
Boulder, CO 80302-7331

Phone

(919) 717-6504

NPI assigned

Feb 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Paris Obdan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1972197218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 16TH ST APT 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027331",
            "telephone_number": "919-717-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 16TH ST APT 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027331",
            "telephone_number": "919-717-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBDAN",
        "first_name": "PARIS",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "NLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "CO",
            "license": "NLC.0111174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARIS",
            "last_name": "OBDAN",
            "prefix": "MR.",
            "credential": "NLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Glenda Russell O'Rourke, LPC
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• Stephen Oakley
• Reid Thomas Wesley Oberer, OD
• Mark James Oberg, MA, LPC, LAC
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• Psychoanalyst in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychoanalyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.