DR. EMILY DUBOSH PSY.D.
NPI 1134720469
Psychologist - Clinical in Broomfield, CO

Active since November 03, 2020Opted out of Medicare · through Apr 13, 2027
80 GARDEN CTR STE 106, BROOMFIELD, CO 80020(303) 529-3551 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2023, Nov 3, 2020 (2 updates tracked since 2020).

About Dr. Emily Dubosh Psy.d. NPPES

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

DR. EMILY DUBOSH PSY.D. (NPI 1134720469) is an individual clinical provider in Broomfield, Colorado, licensed in Colorado (4515) and active in the NPI registry since November 2020. She has opted out of Medicare through April 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134720469
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMILY DUBOSHCredential: PSY.D.
Location Address80 GARDEN CTR STE 106Broomfield, CO 80020-1779
Mailing Address80 Garden Ctr Ste 106Broomfield, CO 80020-1779 · (303) 529-3551
Sole ProprietorNo
Enumeration DateNovember 3, 2020
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1134720469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CO · 4515
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.

80 GARDEN CTR STE 106, Broomfield, CO 80020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Emily Dubosh Psy.d. 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 April 13, 2025 through April 13, 2027.

Opt-Out Effective DateApril 13, 2025
Opt-Out In Effect ThroughApril 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Emily Dubosh's NPI number?

The NPI number for Emily Dubosh is 1134720469. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Emily Dubosh located?

Emily Dubosh practices at 80 Garden Ctr Ste 106, Broomfield, CO 80020. The listed phone number is (303) 529-3551.

What is Emily Dubosh's specialty?

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

Is Emily Dubosh enrolled in Medicare?

No. Emily Dubosh has opted out of Medicare through April 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Emily Dubosh was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.