DR. HEIDI COVER NAHUM, PH.D. - NPI NUMBER 1013022581

Summary

Provider Name: DR. HEIDI COVER NAHUM, PH.D.

NPI Number: 1013022581

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Address:
599 TOPEKA WAY
SUITE 300
CASTLE ROCK, CO
ZIP 80109

Phone Number: (303) 909-5825



Detailed Information

DR. Heidi Cover Nahum, PH.D. is a clinical psychologist in Castle Rock, CO with 27 years of experience. The assigned NPI number for this provider is 1013022581 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

599 TOPEKA WAY
SUITE 300
CASTLE ROCK, CO
ZIP 80109-130
Phone: (303) 909-5825
Fax: (303) 814-1583

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical 2134 CO Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 802454 MEDICARE ID-TYPE UNSPECIFIED CO
2 513540 OTHER CO VALUE OPTIONS
3 03327345 MEDICAID CO

NPI Record

No. Field Name Field Value
1 NPI 1013022581
2 Entity Type Code 1
3 Provider Last Name Legal Name NAHUM
4 Provider First Name HEIDI
5 Provider Middle Name COVER
6 Provider Name Prefix Text DR.
7 Provider Credential Text PH.D.
8 Provider First Line Business Practice Location Address 599 TOPEKA WAY
9 Provider Second Line Business Practice Location Address SUITE 300
10 Provider Business Practice Location Address City Name CASTLE ROCK
11 Provider Business Practice Location Address State Name CO
12 Provider Business Practice Location Address Postal Code 801093130
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 3039095825
15 Provider Business Practice Location Address Fax Number 3038141583
16 Provider Enumeration Date 8/21/2006
17 Last Update Date 7/8/2007
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 103TC0700X
20 Provider License Number 1 2134
21 Provider License Number State Code 1 CO
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 802454
24 Other Provider Identifier Type Code 1 04
25 Other Provider Identifier State 1 CO
26 Other Provider Identifier 2 513540
27 Other Provider Identifier Type Code 2 01
28 Other Provider Identifier State 2 CO
29 Other Provider Identifier Issuer 2 VALUE OPTIONS
30 Other Provider Identifier 3 03327345
31 Other Provider Identifier Type Code 3 05
32 Other Provider Identifier State 3 CO
33 Is Sole Proprietor Y

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.