Rocky Mountain Memory Center PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1990 Issued in CO

Legal business name

ROCKY MOUNTAIN MEMORY CENTER PLLC

Practice address

951 Laporte Ave
Fort Collins, CO 80521-2522

Phone

(970) 221-1073

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen A Lauren, ED.D.NPI 1427101708

Title

Clinical Director

Phone

(970) 221-1073

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Kathleen Lauren2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kathleen Lauren Edd PLLC

  • Clinical Neuropsychologist
  • Fort Collins, CO
  • NPI 1356367197
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Ann Lauren, ED.D.

  • Clinical Neuropsychologist
  • Fort Collins, CO
  • NPI 1427101708
  Medicare reassignment NPD Authorized official
• Claudia Huber, OT/R

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1700036324
  NPD (past)

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1982853073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 REMINGTON ST STE 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252566",
            "telephone_number": "970-221-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 LAPORTE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212522",
            "telephone_number": "970-221-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN MEMORY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "LAUREN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "970-221-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1990",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1024531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69323780",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Family Vision, PC
• Rocky Mountain Group Therapy P.L.L.C.
• Rocky Mountain Independent Living, Inc.
• Rocky Mountain Infusion Clinics, LLC
• Rocky Mountain Medical Psychiatry
• Rocky Mountain Neurobehavioral Health, LLC
• Rocky Mountain Oral Surgery
• Rocky Mountain Pediatric Urology, PC
• Rocky Mountain Physical Therapy Inc,
• Rocky Mountain Physical Therapy Inc,

• All providers in Fort Collins, CO
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.