2 PEAKS CENTER FOR NEURO PSYCHOLOGY (NPI# 1689102568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689102568 |
| Entity Type | Organization |
| Organization Name | 2 PEAKS CENTER FOR NEURO PSYCHOLOGY |
| Practice Address |
2001 S Shields Street Bldg A Fort Collins CO 80526-1827 |
| Mailing Address |
15873 Linton Lane Wellington CO 80549-2134 |
| Practice Telephone | 9707970446 |
| Practice Fax Number | 9706318343 |
| Mailing Telephone | 9707970446 |
| Mailing Fax Number | 9706318343 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |
| Authorized Official Name | MRS. ANNETTE AGUILAR (CREDENTIALING ACCOUNT MANAGER) |
| Authorized Official Telephone | 2107149823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
2001 S SHIELDS STREET BLDG A |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1043629660 | Leslie Dwyer | Psychologist | 425 W Mulberry St Ste 210, Fort Collins, CO 80521-2864 | 2014-08-07 |
| 1497184915 | Patricia Mestas Vigil | Psychologist | 5815 Auburn Dr, Fort Collins, CO 80525-4169 | 2013-11-05 |
| 1598069676 | Mark Benn | Psychologist | Campus Delivery 8010, Fort Collins, CO 80523-8010 | 2011-01-04 |
| 1801105838 | Cynthia J. Swindell | Psychologist | 123 Aylesworth Nw, Csu Health Network Counseling Services, Fort Collins, CO 80523-8010 | 2010-09-24 |
| 1205154531 | Sharon Anderson | Psychologist | 2949 Sagebrush Dr, Fort Collins, CO 80525-2470 | 2010-05-11 |
| 1821323676 | Jeremy Thomas Sharp | Psychologist | 3500 John F Kennedy Pkwy, Ste 200, Fort Collins, CO 80525-2635 | 2009-10-13 |
| 1134399439 | Tracy Lynn Richards | Psychologist | Dept of Psychology, Colorado State University, Fort Collins, CO 80523-1876 | 2008-03-03 |
| 1194993840 | Rachel Marie Bedard | Psychologist | 1113 Mathews St, Fort Collins, CO 80524-3722 | 2008-02-15 |
| 1073680369 | Beth O'brien | Psychologist | 323 W Drake Rd Ste 124, Fort Collins, CO 80526-8115 | 2006-11-29 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on 2 PEAKS CENTER FOR NEURO PSYCHOLOGY.
| 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.