IAN DAVID PASIKOV (NPI# 1528254430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528254430 |
| Entity Type | Individual |
| Full Name | IAN DAVID PASIKOV |
| Credential | M.A. |
| Practice Address |
954 North St Suite 301 Boulder CO 80304-3307 |
| Practice Telephone | 3034426366 |
| Mailing Telephone | 3034426366 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
954 NORTH ST SUITE 301 |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452310 | Gerald D Chitters | Psychiatry & Neurology | 954 North St, #302, Boulder, CO 80304-3307 | 2006-08-09 |
| 1467901181 | Sharon Harman | Massage Therapist | 954 North St, Suite 205, Boulder, CO 80304-3419 | 2016-09-22 |
| 1154739910 | Emily A. Hamilton, Phd, LLC | Psychologist | 954 North St, Boulder, CO 80304-3419 | 2014-07-24 |
| 1902240450 | Marisol M Rodriguez | Counselor | 954 North St, Suite 206, Boulder, CO 80304-3419 | 2013-04-25 |
| 1487950119 | Katz Chiropractic & Rehabilition Clinic | Chiropractor | 954 North St, Second Floor, Boulder, CO 80304-3399 | 2011-01-27 |
| 1992001622 | Front Range Dmx | Radiologic Technologist | 954 North St, Second Floor, Boulder, CO 80304-3419 | 2011-01-27 |
| 1588960306 | Seana Benson Katz | Chiropractor | 954 North St, Second Floor, Boulder, CO 80304-3419 | 2011-01-27 |
| 1417278961 | Emily A. Hamilton | Psychologist | 954 North St, Boulder, CO 80304-3419 | 2010-06-18 |
| 1881865210 | Jamie Gardner | Social Worker | 954 North St, Boulder, CO 80304-3307 | 2008-03-13 |
| 1235321449 | Joseph William Van Derveer IIi | Psychiatry & Neurology | 954 North St, Suite 202, Boulder, CO 80304-3307 | 2007-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932481504 | Mary Hartnett, Ph.d., P.C. | Psychologist | 100 Arapahoe Ave., Suite 7, Boulder, CO 80302 | 2011-09-09 |
| 1215054218 | La Luna Center, LLC | Psychologist | 3002 Bluff St, Suite 200, Boulder, CO 80301-2162 | 2007-03-23 |
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|---|---|---|---|---|
| 1417478207 | Angela Egan | Psychologist | 12760 Stroh Ranch Way Ste 204b, Parker, CO 80134-7507 | 2017-06-30 |
| 1710407721 | Jennifer Ann Miller | Psychologist | 409 S Wilcox St Ste C, Castle Rock, CO 80104-1962 | 2017-06-21 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1558620617 | Sircle Pain Relief Center | Psychologist | 1941 Lake Ave, Pueblo, CO 81004-3321 | 2012-05-10 |
| 1356366132 | Associates for Psychotherapy and Education, PC | Psychologist | 924 Indiana Ave, Pueblo, CO 81004-3747 | 2006-07-13 |
| 1194345702 | Dawn Bondi | Psychologist | 420 21st Ave Ste 113, Longmont, CO 80501-1441 | 2020-04-23 |
| 1821656497 | Jill Hersh Psyd, LLC | Psychologist | 2727 Bryant St, Denver, CO 80211-4130 | 2019-05-30 |
| 1346755535 | Carrie Nelson | Psychologist | 445 W Berry Ave, Littleton, CO 80120-1601 | 2017-12-10 |
| 1831627686 | Christine Marie Wilhoite | Psychologist | 9200 W Cross Dr Ste 203, Littleton, CO 80123-2225 | 2017-05-24 |
| 1346791068 | Cynthia Marie Lackner | Psychologist | 44 Cook St, Suite 100, Denver, CO 80206-5822 | 2016-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.