1306169784 NPI number — ANNE S. CABANILLA, PSY.D., INC.

Table of content: DR. ANINDER KAUR SARAI MD (NPI 1790463834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306169784 NPI number — ANNE S. CABANILLA, PSY.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANNE S. CABANILLA, PSY.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306169784
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1090 ELK TRAIL CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ESTES PARK
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80517-9437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-586-1090
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
934 BIG THOMPSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESTES PARK
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80517-8905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-586-1090
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CABANILLA
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRINCIPAL OFFICER
Authorized Official Telephone Number:
970-586-1090

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3050 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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