KENDRA L SHERWOOD (NPI# 1225363096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225363096 |
| Entity Type | Individual |
| Full Name | KENDRA L SHERWOOD |
| Credential | PH.D. |
| Practice Address |
11705 Airport Way Ste 301 Broomfield CO 80021-2711 |
| Practice Telephone | 7206339693 |
| Practice Fax Number | 7203861086 |
| Mailing Telephone | 7206339693 |
| Mailing Fax Number | 7203861086 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4272 | CO | Behavioral Health & Social Service Providers |
| Street Address |
11705 AIRPORT WAY STE 301 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| 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 |
|---|---|---|---|---|
| 1053781401 | Valerie Sims | Clinical Neuropsychologist | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2706 | 2015-09-28 |
| 1093957383 | Locy Associates LLC | Clinical Neuropsychologist | 1231 Dexter St, Broomfield, CO 80020-1461 | 2009-04-01 |
| 1841570702 | Todd Robert Carr | Clinical Neuropsychologist | 80 Garden Ctr, #16, Broomfield, CO 80020-7087 | 2011-08-24 |
| 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 |
| 1417326232 | Psychological Counseling & Consulting | Clinical Neuropsychologist | 10332 Tomichi Dr, Franktown, CO 80116-8533 | 2015-09-22 |
| Find all providers with the same taxonomy | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
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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.