DR. JESSICA SUSAN MCCREA (NPI# 1174742308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174742308 |
| Entity Type | Individual |
| Full Name | DR. JESSICA SUSAN MCCREA |
| Credential | PSY.D. |
| Practice Address |
1244 Pine St Boulder CO 80302-4809 |
| Mailing Address |
513 Dewey Ave Boulder CO 80304-3929 |
| Practice Telephone | 3032470408 |
| Practice Fax Number | 7202479060 |
| Mailing Telephone | 3032470408 |
| Mailing Fax Number | 7202479060 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2816 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1244 PINE ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033144472 | Daniel Joseph Courtney | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2006-07-12 |
| 1992365027 | Eva Jahn | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2019-06-20 |
| 1366907719 | Alberta Gaea Logan | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2019-02-08 |
| 1740656305 | Patti Wade, Ms, Ccc-slp | Clinic/Center | 1244 Pine St, Boulder, CO 80302-4809 | 2015-08-18 |
| 1598168353 | Eileen Gerilyn Wade-stein | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2014-10-07 |
| 1275947269 | Caroline Roy | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2014-06-17 |
| 1861820185 | Krista Malek | Counselor | 1244 Pine St, Boulder, CO 80302 | 2013-10-23 |
| 1003257973 | Cindy J Smith | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2013-07-08 |
| 1477804102 | Katherine Shaw Kripke | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2012-09-20 |
| 1962640185 | Debbie Warshaw Gould | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2009-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 |
| 1083955975 | Michal Fire | Psychologist | 1033 Kalmia Ave, Boulder, CO 80304-1743 | 2013-03-03 |
| Find all providers in BOULDER | ||||
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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.