DR. KENNETH J MCDONALD (NPI# 1366910028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366910028 |
Entity Type | Individual |
Full Name | DR. KENNETH J MCDONALD |
Credential | PSYD |
Practice Address |
9347 Sugarloaf Rd Boulder CO 80302-9221 |
Practice Telephone | 4152649504 |
Mailing Telephone | 4152649504 |
Enumeration Date | 2018-11-10 |
Last Update Date | 2018-11-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSYC.00014021 | CO | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
356 East Elkhorn Ave., Estes Park, CO 80517 | 4152649504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750639316 | Kenneth P Mcdonald | Behavioral Analyst | 2845 Sw 98th Drive, Gainesville, FL 32608 | 2012-08-29 |
1972675924 | Kenneth John Mcdonald | Specialist | 430 N Market St, Wooster, OH 44691-3516 | 2006-11-14 |
1871930313 | Kenneth Mcdonald | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9020 | 2013-05-23 |
1720277452 | Kenneth Irving Mcdonald | Physical Therapist | 600 W North Blvd Ste D, Leesburg, FL 34748-5000 | 2007-10-18 |
1437362928 | Kenneth Mcdonald | Social Worker | 220 Bagley St, Suite 1100, Detroit, MI 48226-1400 | 2007-05-08 |
1558440610 | Kenneth Arthur Mcdonald | Nurse Anesthetist, Certified Registered | 25 Monument Rd Ste 270, York, PA 17403 | 2006-11-02 |
1871691964 | Kenneth Mcdonald | Counselor | 117-11 Myrtle Avenue, Richmond Hill, NY 11418 | 2006-09-20 |
1336110907 | Kenneth E. Mcdonald IIi | Family Medicine | 508 Broadway St, Delhi, LA 71232-3002 | 2006-01-31 |
Street Address |
9347 SUGARLOAF RD |
City | BOULDER |
State | CO |
Zip Code | 80302-9221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457818932 | None | Clinic/Center | 9347 Sugarloaf Rd, Boulder, CO 80302-9221 | 2019-02-21 |
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 |
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 |
1801135678 | Sarah Wu | Psychologist | 1440 Lee Hill Rd Unit 5, Boulder, CO 80304-0868 | 2013-02-13 |
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.