| Autumn Years Pllc | |
|
9449 Yale Ln Highlands Ranch CO 80130-3726 | |
| (970) 805-0716 | |
| Not Available |
| Full Name | Autumn Years Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9449 Yale Ln, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Kristy Shoji (OWNER) |
| Authorized Official Contact | 9708050716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Years Pllc 9449 Yale Ln Highlands Ranch CO 80130-3726 Ph: (970) 805-0716 | Autumn Years Pllc 9449 Yale Ln Highlands Ranch CO 80130-3726 Ph: (970) 805-0716 |
| NPI Number | 1770394777 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 10/06/2025 |
| Medicare PECOS PAC ID | 7719416692 |
|---|---|
| Medicare Enrollment ID | O20250122000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770394777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristy Shoji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770002891 PECOS PAC ID: 8628507506 Enrollment ID: I20250122000699 |
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