DR. KENNETH J MCDONALD


Address: 9347 Sugarloaf Rd, Boulder, CO 80302-9221
Phone: 4152649504

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSYC.00014021 CO Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
356 East Elkhorn Ave., Estes Park, CO 80517 4152649504

Other Providers KENNETH MCDONALD

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1750639316 Kenneth P Mcdonald Behavioral Analyst 2845 Sw 98th Drive, Gainesville, FL 32608 2012-08-29
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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

Office Location

Street Address 9347 SUGARLOAF RD
City BOULDER
State CO
Zip Code 80302-9221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457818932 None Clinic/Center 9347 Sugarloaf Rd, Boulder, CO 80302-9221 2019-02-21

Providers in the same zip code

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 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
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
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Competitor

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City BOULDER
Zip Code 80302

Improve Information

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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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