BLUE SPRUCE ASSOCIATES, INC. (NPI# 1629217484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629217484 |
| Entity Type | Organization |
| Organization Name | BLUE SPRUCE ASSOCIATES, INC. |
| Other Organization Name | CENTENNIAL CENTER FOR HUMAN SERVICES |
| Practice Address |
515 S. Sherwood St Fort Collins CO 80521-2842 |
| Mailing Address |
5151 S. Sherwood St. Fort Collins CO 80521-2842 |
| Practice Telephone | 9702210581 |
| Practice Fax Number | 9704828541 |
| Mailing Telephone | 9702210581 |
| Mailing Fax Number | 9704828541 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | DR. PAMELA A. GAYNOR (DIRECTOR, CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9702210581 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 292 | CO | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Centennial Center for Human Services | Doing Business As Name - Organization |
| Street Address |
515 S. SHERWOOD ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647389 | A Peaceful Mind LLC | Psychologist | 420 S Howes St Ste B-100, Fort Collins, CO 80521-2871 | 2020-10-21 |
| 1609489608 | Bradley T Conner | Psychologist | 3203 Green Lake Drive, Fort Collins, CO 80524-1261 | 2020-08-28 |
| 1427533140 | Jesse M Wolf | Psychologist | Csu Health and Medical Center 151 Campus Delivery, Fort Collins, CO 80523-0001 | 2018-09-27 |
| 1396178950 | Megan Marie Rogers | Psychologist | 4102 S Timberline Rd, Fort Collins, CO 80525-6033 | 2013-08-17 |
| 1407293392 | Remote Health Access Inc | Psychologist | 4645 Ziegler Rd, Suite 101, Fort Collins, CO 80528-9600 | 2013-05-31 |
| 1740571843 | Jeri L Newlin | Psychologist | 123 Aylesworth Hl Nw, Fort Collins, CO 80523-8010 | 2011-04-22 |
| 1104156777 | Jeremy T. Sharp, Ph.d., LLC | Psychologist | 3500 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525-2635 | 2010-01-05 |
| 1467789644 | Janet E Pipal | Psychologist | 155 W Harvard St Ste 102, Fort Collins, CO 80525-5200 | 2009-11-10 |
| 1477789501 | Rebekah Jean Knight-baughman | Psychologist | 420 S Howes St Ste 204, Fort Collins, CO 80521-2871 | 2009-06-03 |
| 1407094469 | Renee A Woodall Phd LLC | Psychologist | 2629 Redwing Rd Ste 316, Fort Collins, CO 80526-2879 | 2009-01-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
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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.