DR. JANE E DERK (NPI# 1518003128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518003128 |
| Entity Type | Individual |
| Full Name | DR. JANE E DERK |
| Credential | PHD |
| Practice Address |
3400 W 16th Street Bldg 5 Ste Yy Greeley CO 80634 |
| Practice Telephone | 9703516406 |
| Practice Fax Number | 9703360937 |
| Mailing Telephone | 9703516406 |
| Mailing Fax Number | 9703360937 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1108 | CO | Behavioral Health & Social Service Providers |
| Street Address |
3400 W 16TH STREET BLDG 5 STE YY |
| City | GREELEY |
| State | CO |
| Zip Code | 80634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579305 | Heart Centered Counseling Inc | Psychologist | 1013 37th Avenue Ct Unit 202, Greeley, CO 80634-2575 | 2019-10-10 |
| 1801297544 | Andrew Smith | Psychologist | University of Northern Colorado Cassidy Hall 2nd Floor, Greeley, CO 80639-3872 | 2014-09-12 |
| 1831511377 | Felicia Thomas | Psychologist | 3026 41st Avenue Ct, Greeley, CO 80634 | 2014-01-17 |
| 1790035830 | Susan P. Bromley Psyd LLC | Psychologist | 1015 37th Ave Ct, Suite 102, Greeley, CO 80634-2500 | 2012-09-17 |
| 1689957979 | Katherine Elaine Combs | Psychologist | 6297 W 10th St, Greeley, CO 80634-9753 | 2011-09-22 |
| 1871721365 | Nathan Kyle Swisher | Psychologist | 8217 W 20th St Ste A, Greeley, CO 80634 | 2009-06-23 |
| 1902031149 | Brett Evan Smith | Psychologist | 2890 13th St, Ste 114, Greeley, CO 80634 | 2009-05-18 |
| 1164661666 | David Lee Christiansen | Psychologist | 3527 W 12th St, Greeley, CO 80634-2564 | 2009-02-07 |
| 1508975467 | Barry R Lindstrom | Psychologist | 3211 W 20th St, Suite D, Greeley, CO 80634-6565 | 2006-08-30 |
| 1902914344 | Raymond E Gornell | Psychologist | 1815 65th Ave, #2, Greeley, CO 80634-7964 | 2006-08-27 |
| Find all providers in GREELEY | ||||
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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.