DR. MARTHA JEAN SORENSEN (NPI# 1780738617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780738617 |
| Entity Type | Individual |
| Full Name | DR. MARTHA JEAN SORENSEN |
| Credential | PH.D. |
| Practice Address |
9046 Shenandoah Ave Frederick CO 80504-5818 |
| Mailing Address |
1175 58th Ave Ste 202 Greeley CO 80634-4807 |
| Practice Telephone | 3035300308 |
| Mailing Telephone | 9704950300 |
| Mailing Fax Number | 9702249624 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2057 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 22750754 | 05 |
| Street Address |
9046 SHENANDOAH AVE |
| City | FREDERICK |
| State | CO |
| Zip Code | 80504-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255586657 | Anthony S Garofano Md Pa | Clinical Neuropsychologist | 801 Toll House Ave Ste A3, Frederick, MD 21701-6110 | 2008-11-26 |
| 1154331247 | James R Lamott | Clinical Neuropsychologist | 2697 Monocacy Ford Rd, Frederick, MD 21701 | 2006-08-09 |
| 1093908782 | Michael Garofano, Ph.d., LLC | Clinical Neuropsychologist | 801 Toll House Ave, Suite A-3, Frederick, MD 21701-4564 | 2007-08-25 |
| 1205900206 | Michael Garofano | Clinical Neuropsychologist | 801 Toll House Ave, Ste. A-3, Frederick, MD 21701-4564 | 2006-11-20 |
| 1588666812 | Edward Feher | Clinical Neuropsychologist | 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-6200 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485648 | Poudre Valley Medical Group, LLC | Clinical Neuropsychologist | 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 | 2020-07-27 |
| 1184102790 | Emily Claire Maxwell | Clinical Neuropsychologist | 10111 Inverness Main St Unit 417, Englewood, CO 80112-5727 | 2018-08-06 |
| 1356828776 | Samantha D Stein | Clinical Neuropsychologist | 50 S Steele St Ste 250, Denver, CO 80209-2802 | 2018-07-27 |
| 1255848321 | Jill Gitten Aloia | Clinical Neuropsychologist | 2501 Walnut St Ste 102, Boulder, CO 80302-5752 | 2018-01-10 |
| 1497265367 | Alicia Williams | Clinical Neuropsychologist | 400 S Mccaslin Blvd Ste 212, Superior, CO 80027-9701 | 2017-10-05 |
| 1689102568 | 2 Peaks Center for Neuro Psychology | Clinical Neuropsychologist | 2001 S Shields Street, Bldg A, Fort Collins, CO 80526-1827 | 2017-05-23 |
| 1487192076 | Icn Pllc | Clinical Neuropsychologist | 255 Canyon Blvd Ste 300-f, Boulder, CO 80302-4979 | 2017-02-03 |
| 1972048098 | Neurofeedback Colorado Springs, Inc. | Clinical Neuropsychologist | 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 | 2016-12-28 |
| 1720537467 | Zachary Sussman | Clinical Neuropsychologist | 2501 Walnut St Ste 104, Boulder, CO 80302-5752 | 2016-09-22 |
| 1053781401 | Valerie Sims | Clinical Neuropsychologist | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 | 2015-09-28 |
| Find all providers with the same taxonomy | ||||
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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.