Individual provider Active NPI

Kristen Hick, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1003047382
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3606 Issued in CO
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

Updated by the provider on Aug 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY3606COMDClinical Psychologist
071007913ILMDClinical Psychologist
20042371AINMDClinical 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.

Verify at the official NPI Registry.