Provider Demographics
NPI:1558480137
Name:HEALTH PSYCHOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:HEALTH PSYCHOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-416-8626
Mailing Address - Street 1:2001 SOUTH SHIELDS BUILDING L
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1839
Mailing Address - Country:US
Mailing Address - Phone:970-416-8626
Mailing Address - Fax:970-493-6643
Practice Address - Street 1:2001 SOUTH SHIELDS BUILDING L
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1839
Practice Address - Country:US
Practice Address - Phone:970-416-8626
Practice Address - Fax:970-493-6643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC01498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07014988Medicaid
COCA0006Medicare PIN