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Organization

CREATE OUTCOMES PSYCHOLOGICAL ASSESSMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL POLLET (DIRECTOR OF OPERATIONS)
(866) 232-7328
Entity
Organization

Contact information

Practice address
300 S JACKSON ST STE 505, DENVER, CO 80209-3184
(866) 232-7328
Mailing address
22 OAKWOOD RD, HUNTINGTON, NY 11743-4231
(866) 232-7328

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
07/24/2026
Last updated
07/24/2026
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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