DR. ANDREA KOHN MAIKOVICH-FONG PH.D., ABPP - NPI 1144770611

Q: What is Andrea Maikovich-fong's NPI number?

The NPI number for Andrea Maikovich-fong is 1144770611. It was assigned to this individual provider in the NPPES registry on October 9, 2016.

Q: What is Andrea Maikovich-fong's specialty?

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

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About Dr. Andrea Kohn Maikovich-fong Ph.d., Abpp NPPES

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

DR. ANDREA KOHN MAIKOVICH-FONG PH.D., ABPP (NPI 1144770611) is an individual clinical provider in Denver, Colorado, licensed in Colorado (PSY-3659) and active in the NPI registry since October 2016. She maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1144770611

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREA KOHN MAIKOVICH-FONGCredential: PH.D., ABPP

Location Address10350 E DAKOTA AVE STE BDenver, CO 80247-1314

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateOctober 9, 2016

Last NPPES UpdateJune 28, 20222 updates tracked since enumeration

NPPES CertifiedJune 28, 2022

✔ NPI 1144770611 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 · PSY-3659

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.

10350 E DAKOTA AVE STE B, Denver, CO 80247

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Secondary Practice Location 1

Location 110400 E Alameda AveDenver, CO 80247-5104 · Phone (303) 338-4545

Other Providers at the Same Location NPPES 20

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

SHANNON MICHELLE PAULSON LPC

Counselor (Professional)