DR. MIRANDA GRACE PERLEBERG SHAW (NPI# 1629239405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629239405 |
| Entity Type | Individual |
| Full Name | DR. MIRANDA GRACE PERLEBERG SHAW |
| Credential | PSY.D. |
| Practice Address |
4863 N Nevada Ave Ste 380 Colorado Springs CO 80918-3951 |
| Mailing Address |
4410 S Blissful Cir Colorado Springs CO 80917-1534 |
| Practice Telephone | 7192558003 |
| Practice Fax Number | 7192558075 |
| Mailing Telephone | 7208916701 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0003845 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4863 N NEVADA AVE STE 380 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528247897 | Erin Fowler | Counselor | 4863 N Nevada Ave Ste 380, Colorado Springs, CO 80918-3951 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
| 1508480856 | Ruth S. O'brien, Psyd Pllc | Psychologist | 6245 Silverado Trl, Colorado Springs, CO 80922-2915 | 2020-06-02 |
| 1962032664 | Viewpoints Psychotherapy Services, LLC | Psychologist | 615 N Nevada Ave Ste 4, Colorado Springs, CO 80903-1075 | 2020-01-22 |
| 1558844225 | Tracie A Nicoll | Psychologist | 1843 Austin Bluffs Pkwy Ste 102, Colorado Springs, CO 80918-7857 | 2018-09-10 |
| 1679084966 | Molly Maxfield | Psychologist | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2017-10-13 |
| 1073023974 | Cottonwood Creek Wellness Center | Psychologist | 3210 E. Woodmen Rd., 110, Colorado Springs, CO 80920 | 2017-10-05 |
| 1306360755 | James M Fletcher Phd, Inc | Psychologist | 2527 W Colorado Ave Ste 210, Colorado Springs, CO 80904-6028 | 2017-07-27 |
| 1013438001 | Roy Leon Hill | Psychologist | 1465 Kelly Johnson Blvd Ste 350, Colorado Springs, CO 80920-3983 | 2017-06-29 |
| 1013367069 | Sean Kelly | Psychologist | 2527 W Colorado Ave Ste 208, Colorado Springs, CO 80904-3075 | 2016-06-20 |
| 1497113336 | Louis Hoffman, Phd | Psychologist | 655 Southpointe Ct Ste 200, Colorado Springs, CO 80906-3859 | 2016-02-07 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on DR. MIRANDA GRACE PERLEBERG SHAW.
| 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.