MS. RAQUEL CAGAN (NPI# 1114020245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114020245 |
| Entity Type | Individual |
| Full Name | MS. RAQUEL CAGAN |
| Credential | PHD |
| Practice Address |
1333 Iris Ave Boulder CO 80304-2226 |
| Practice Telephone | 7204063636 |
| Practice Fax Number | 3035456942 |
| Mailing Telephone | 7204063636 |
| Mailing Fax Number | 3035456942 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2226 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1333 IRIS AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606521 | Karen Breunig Hine | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2005-08-12 |
| 1194209106 | Philippa Tucker | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-09-17 |
| 1942781174 | Victoria Abbey | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-08-26 |
| 1669966768 | Natalie Lamolinara | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-06-21 |
| 1285126854 | Jennifer Egloff | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-30 |
| 1790276624 | Johanna B Grube | Student in an Organized Health Care Education/Training Program | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-26 |
| 1578053930 | Leane Marie Vasquez | Peer Specialist | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-11 |
| 1730678749 | Jennifer Cullom | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-04 |
| 1366931735 | Amanda Cantu | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-01 |
| 1679060545 | Purnima Jagtap | Social Worker | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-04-17 |
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|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
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| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245523430 | Marcela Torres | Psychologist | 1440 15th Street, Boulder, CO 80309-7106 | 2011-05-19 |
| 1255662730 | Scott Richard Brown | Psychologist | 2500 30th St Ste 202, Boulder, CO 80301 | 2010-01-22 |
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| 1447614383 | Lauren Shomaker | Psychologist | 410 Pitkin St, 1570 Campus Delivery, Fort Collins, CO 80523-1570 | 2016-04-06 |
| 1811301153 | Rachel Ahern | Psychologist | 1298 Peoria St, Aurora, CO 80011-6206 | 2014-06-15 |
| 1942610258 | Stephanie Miller | Psychologist | 150 W 9th Ave Unit 2115, Denver, CO 80204-4045 | 2014-05-08 |
| 1346650454 | Maribel Hinojosa Psyd LLC | Psychologist | 7200 E Dry Creek Rd Ste G208, Centennial, CO 80112-2575 | 2014-04-29 |
| 1427315613 | Lisa Ann Mcclun | Psychologist | 447 W Columbia Ave, Telluride, CO 81435-9448 | 2012-04-12 |
| 1891063582 | Marcia L Braden | Psychologist | 214 E Dale St, #110, Colorado Springs, CO 80903-4729 | 2011-12-08 |
| 1306150727 | Nancy Gary | Psychologist | 5290 E Yale Cir Ste 207, Denver, CO 80222-6933 | 2010-07-27 |
| 1275856890 | Idalia Massa | Psychologist | 12631 E 17th Ave Rm 3408, Blg: Ao1, Ms: F406, Uc School of Medicine, Aurora, CO 80045-2527 | 2010-03-10 |
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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.