MICHAL FIRE


Address: 1033 Kalmia Ave, Boulder, CO 80304-1743
Phone: 4155087042

MICHAL FIRE (NPI# 1083955975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083955975
Entity Type Individual
Full Name MICHAL FIRE
Practice Address 1033 Kalmia Ave
Boulder
CO 80304-1743
Mailing Address 7497a N Foothills Hwy
Boulder
CO 80302-9359
Practice Telephone 4155087042
Enumeration Date 2013-03-03
Last Update Date 2013-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
24766 CA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
3735 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1033 KALMIA AVE
City BOULDER
State CO
Zip Code 80304-1743

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1598119281 Megan Cronin Larson Social Worker 825 S. Broadway Street, Boulder, CO 80304 2016-04-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508478314 Kent Hutchison Psychologist 2695 Juilliard St, Boulder, CO 80305-7030 2020-08-21
1366910028 Kenneth J Mcdonald Psychologist 9347 Sugarloaf Rd, Boulder, CO 80302-9221 2018-11-10
1043713159 Carl Frank Sternberg Psychologist 1525 Spruce St Ste 102, Boulder, CO 80302-4256 2018-03-14
1821511718 Nicole Kalyn Hipp Psychologist 2299 Pearl St Ste 310, Boulder, CO 80302-4671 2017-07-21
1114456001 Trevor Graham, Psy.d., LLC Psychologist 2727 Pine St Ste 9, Boulder, CO 80302-3846 2017-06-05
1649643503 Mark A Whisman Psychologist Muenzinger D319, Boulder, CO 80309-0345 2015-11-01
1548666209 Haley Miller Psychologist 255 Canyon Blvd Ste 200, Boulder, CO 80302-4954 2014-11-07
1275941080 Dina Matic Psychologist 5350 Manhattan Cir Ste 210b, Boulder, CO 80303-4236 2014-07-24
1356782676 Steven Michael Gioielli Psychologist 2500 30th St Ste 208, Boulder, CO 80301-1239 2013-07-15
1801135678 Sarah Wu Psychologist 1440 Lee Hill Rd Unit 5, Boulder, CO 80304-0868 2013-02-13
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Competitor

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City BOULDER
Zip Code 80304

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Dataset Information

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.

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