Individual provider Active NPI

Roianne R Ahn

  • Psychologist
  • Superior, CO
National Provider Identifier
1992038269
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3001 Issued in CO
Practice address
400 S McCaslin Blvd Ste 105
Superior, CO 80027-9701
Phone
(303) 444-5006
NPI assigned
Sep 17, 2009
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3001 CO Primary

Addresses

Primary practice location

400 S McCaslin Blvd Ste 105
Superior, CO 80027-9701

Mailing address

4555 Ottawa PL
Boulder, CO 80303-3724
Phone (720) 331-6022

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

State licenses

LicenseStateTypeSpecialty
3001COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Psychology, LLC Psychologist CurrentSince Jan 14, 2024 Accepting new patients
Ahn Institute, LLC Psychologist CurrentSince Sep 5, 2023 Accepting new patients

Locations

400 S McCaslin Blvd
Ste 105
Superior, CO 80027
Phone (303) 444-5006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1992038269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 OTTAWA PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033724",
            "telephone_number": "720-331-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 105",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-444-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "ROIANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.