NONE


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

NONE (NPI# 1457818932) 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) 1457818932
Entity Type Organization
Organization Name NONE
Practice Address 9347 Sugarloaf Rd
Boulder
CO 80302-9221
Practice Telephone 4152649504
Mailing Telephone 4152649504
Enumeration Date 2019-02-21
Last Update Date 2019-02-21
Authorized Official Name DR. KENNETH MCDONALD (OWNER)
Authorized Official Telephone 4152649504
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Provider Secondary Practice Location

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912365149 None Clinic/Center 1324 Vinton Ave # 1, Memphis, TN 38104-4558 2016-02-02
1689056350 None Student in an Organized Health Care Education/Training Program 58-290 Kamehameha Hwy, Haleiwa, HI 96712-9716 2015-06-18
1124410931 None Pharmacy 1232 E 20th St, Loveland, CO 80538-4019 2015-03-03
1982014841 None General Acute Care Hospital 2323 W 114th St, Chicago, IL 60643-4108 2014-04-30
1558601906 None Registered Nurse 6058 Oriole Ln, Greendale, WI 53129-2552 2013-02-21
1558688002 None Community/Behavioral Health 2823 Winam Ave Apt I7, Honolulu, HI 96816-5900 2010-04-23
1619511490 None Durable Medical Equipment & Medical Supplies 550 1st Ave, New York, NY 10016-6402 2019-11-04
1942751706 None Family Medicine 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 2016-10-17
1528431640 None Counselor 1 Burhans Pl, Delmar, NY 12054-1201 2015-11-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NONE 44869 Fern Cir, Temecula, CA 92592-3407
Connecticut Business Registrations None 60 Arch Street 2nd Fl, Greenwich, CT 06830
Colorado Business Entities None 601 Marquette Ave. So., Suite 100, Minneapolis, MN 55402
Washington State Corporations NONE BETTER, INC. 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037
Connecticut Business Registrations NONE BETTER, LLC 583 South Street, New Britain, CT 06051
Colorado Business Entities None But The Brave LLC 13347 King Lake Trl, Broomfield, CO 80020
New York State Corporations NONE GLOBAL LLC 870 Jennings St, Bronx, Ny 10459
Colorado Business Entities NONE INTERNATIONAL INC 3686 Stagecoach Rd, Longmont, CO 80504
Washington State Corporations NONE MORE MINUTES ENTERPRISES, INC. 2011 St Johns Blvd, Vancouver, WA 98661
New York State Corporations NONE OF OUR HUSBAND'S BUSINESS, LLC 292 Nelson Avenue, Staten Island, New York 10308

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
1366910028 Kenneth J Mcdonald Psychologist 9347 Sugarloaf Rd, Boulder, CO 80302-9221 2018-11-10

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 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407347487 Boulder Valley Psychotherapy Clinic/Center 5277 Manhattan Cir Ste 102, Boulder, CO 80303-8200 2018-05-24
1750773602 Dr. Chelsea Holland Clinic/Center 790 31st St, Boulder, CO 80303-2402 2015-03-02
1386242238 Steven Gioielli Psyd Pllc Clinic/Center 2500 30th St Ste 208, Boulder, CO 80301-1239 2020-10-13
1871113589 Butterfly Affect Psychotherapy & Counseling, LLC Clinic/Center 703 Walnut St, Boulder, CO 80302-5032 2020-04-22
1043852262 The Postpartum Wellness Center of Boulder Clinic/Center 2300 Canyon Blvd Ste 5, Boulder, CO 80302-5619 2019-10-09
1831636018 Mary K. Howard Clinic/Center 1190 S Lashley Ln, Boulder, CO 80305-6709 2017-01-25
1003279282 Lookout Managment LLC Clinic/Center 6901 Lookout Rd, Boulder, CO 80301-3529 2016-04-04
1942666789 Center for Somatic Psychology, LLC Clinic/Center 1503 Yarmouth Ave, Boulder, CO 80304-0564 2016-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861009391 Mindfulness Based Interventions LLC Clinic/Center 640 Sherman St., Unit H, Ridgway, CO 81432 2020-09-29
1447866876 Wholehearted Therapy LLC Clinic/Center 7150 E Hampden Ave Ste 307, Denver, CO 80224-3057 2020-09-21
1902418965 Klarisana Physician Services Pllc Clinic/Center 5005 W 81st Pl Ste 403, Westminster, CO 80031-7025 2020-08-20
1033736699 A Phoenix Rising, LLC Clinic/Center 731 N Weber St Ste 211, Colorado Springs, CO 80903-1019 2020-06-30
1003433947 Key Counseling, LLC. Clinic/Center 3705 Kipling, Optional, Wheat Ridge, CO 80033-8003 2020-06-26
1225653413 Awake Mindful Therapy Clinic/Center 30922 Hilltop Dr, Evergreen, CO 80439-8762 2020-06-12
1154941540 Galia R. Abadi Inc. Clinic/Center 4155 E Jewell Ave Ste 1004, Denver, CO 80222-4514 2020-04-25
1063047900 Map and The Mirror Counseling, LLC Clinic/Center 911 Two Rivers Dr, Telluride, CO 81435-9152 2020-03-11
1306478961 Specialized Alternatives for Families and Youth of Colorado, Inc. Clinic/Center 12500 E Iliff Ave Ste 110, Aurora, CO 80014-1268 2020-02-11
1508497348 Josmar Trejo-sanchez Clinic/Center 2460 W 26th Ave Ste 217c, Denver, CO 80211-5312 2020-01-30
Find all providers with the same taxonomy

Competitor

Search similar providers

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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