MICHAL FIRE
NPI 1083955975
Psychologist - Clinical in Boulder, CO

Active since March 03, 2013Opted out of Medicare · through May 5, 2027
1033 KALMIA AVE, BOULDER, CO 80304(415) 508-7042 Get Directions Write a Review

NPPES record last updated: March 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michal Fire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAL FIRE (NPI 1083955975) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (3735) and active in the NPI registry since March 2013. She has opted out of Medicare through May 5, 2027.

NPPES Registry Identity

NPI1083955975
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAL FIRE
Location Address1033 KALMIA AVEBoulder, CO 80304-1743
Mailing Address7497a N Foothills HwyBoulder, CO 80302-9359
Sole ProprietorYes
Enumeration DateMarch 3, 2013
NPI 1083955975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CO · 3735 Licensed in CA · 24766
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1033 KALMIA AVE, Boulder, CO 80304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Michal Fire has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2025 through May 5, 2027.

Opt-Out Effective DateMay 5, 2025
Opt-Out In Effect ThroughMay 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1033 KALMIA AVE
BOULDER, CO 80304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michal Fire's NPI number?

The NPI number for Michal Fire is 1083955975. It was assigned to this individual provider in the NPPES registry on March 3, 2013.

Where is Michal Fire located?

Michal Fire practices at 1033 Kalmia Ave, Boulder, CO 80304. The listed phone number is (415) 508-7042.

What is Michal Fire's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michal Fire enrolled in Medicare?

No. Michal Fire has opted out of Medicare through May 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michal Fire was last updated on March 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.