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Deactivated NPI 1508899667 Deactivated / Inactive NPI Male Practitioner

Dr. P. Charles Funk , PhD

Psychologist - Clinical • Durango, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. P. Funk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 09, 2006
NPI Deactivation Date June 19, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. P. Funk, PhD was a registered Psychologist - Clinical practicing in Durango, CO. Throughout an active medical career spanning 12 years, Dr. Funk provided care at the practice location at 2530 COLORADO AVE until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

2530 Colorado Ave
Suite 2a

Durango, CO 813014760

Telephone 9702595711
Fax 9702592419
Associated Practice Facility / Clinic
🏢 J Ryan Mickelson Dds, Inc. Facility NPI 1437438389

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Durango, CO (1712 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CO 1538

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Mark Dickmann , MSW, LCSW

Social Worker - Clinical

NPI 1164620886

Master of Social Work, Licensed Clinical Social Worker

NPI 1336283761

Licensed Clinical Social Worker, EMDRCERT, Certified Hand Therapist, C

Lindsay Stonecash

Social Worker - Clinical

NPI 1376823518
Dr. Luann Ellis , PhD

Psychologist - Clinical

NPI 1649489147

Doctor of Philosophy (Ph.D.)

NPI 1992789218

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2530 COLORADO AVE, SUITE 2A, DURANGO, CO 813014760 (Tel: 9702595711)

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Updated Business Mailing Address July 08, 2007

Registered at 2530 COLORADO AVE, SUITE 2A, DURANGO, CO 813014760 (Tel: 9702471702)

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Provider Name / Credentials Updated July 08, 2007

Recorded as P. FUNK, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1538 in CO)

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Initial NPI Registration & Enumeration July 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508899667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2006
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

2530 Colorado Ave, Suite 2a

Durango, CO 813014760

Phone: 9702471702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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