Individual provider Active NPI

Karen McAvoy

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1992164693
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0001472 Issued in CO
Practice address
2021 Battlecreek Dr Unit a
Fort Collins, CO 80528-5120
Phone
(970) 984-8765
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0001472 CO Primary

Addresses

Primary practice location

2021 Battlecreek Dr Unit a
Fort Collins, CO 80528-5120

Mailing address

631 Peterson St
Fort Collins, CO 80524-3135
Phone (303) 818-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0001472COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dilaawar J. Mistry, M.D., PLLC CurrentSince Mar 6, 2019 Accepting new patients

Locations

2021 Battlecreek Dr
Unit A
Fort Collins, CO 80528
Phone (720) 770-0259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1992164693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PETERSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243135",
            "telephone_number": "303-818-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BATTLECREEK DR UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285120",
            "telephone_number": "970-984-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVOY",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0001472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.