Active NPI
Kristen Hick, PSYD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1003047382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY3606
- Practice address
- 1780 S Bellaire St Ste 125
Denver, CO 80222 - Phone
- (720) 644-6698
- Fax
- (720) 644-6698
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071007913 | IL | |
| Clinical Psychologist | 103TC0700X | 20042371A | IN | |
| Clinical Psychologist | 103TC0700X | PSY3606 | CO | Primary |
Addresses
Primary practice location
1780 S Bellaire St Ste 125
Denver, CO 80222
Mailing address
1780 S Bellaire St Ste 125
Denver, CO 80222-4307
Phone (720) 644-6698
Other practice location 1
9933 Lawler Ave
Suite 338A
Skokie, IL 60077-3703
Phone (219) 972-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY3606 | CO | MD | Clinical Psychologist |
| 071007913 | IL | MD | Clinical Psychologist |
| 20042371A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1003047382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 S BELLAIRE ST STE 125",
"city": "DENVER",
"state": "CO",
"postal_code": "802224307",
"telephone_number": "720-644-6698",
"fax_number": "720-644-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 S BELLAIRE ST STE 125",
"city": "DENVER",
"state": "CO",
"postal_code": "80222",
"telephone_number": "720-644-6698",
"fax_number": "720-644-6698"
}
],
"practiceLocations": [
{
"address_1": "9933 Lawler Ave",
"address_2": "Suite 338A",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600773703",
"country_code": "US",
"telephone_number": "219-972-0131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICK",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007913",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042371A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY3606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.