Clinical Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICAL PSYCHOLOGIST PLLC

Practice address

90 Madison St
Suite 402
Denver, CO 80206-5418

Phone

(720) 272-0565

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pepe Santana, PH.D.NPI 1437304854

Title

Ceo

Phone

(720) 272-0565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pepe Santana, PhD Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pepe S. Santana, PH.D.

  • Clinical Psychologist
  • Denver, CO
  • NPI 1437304854
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1003217019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 402",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "720-272-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 402",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "720-272-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "PEPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-272-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38358255",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pepe Santana, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Clingerman
• Clinica Campesina Family Health Services
• Clinica Campesina Family Health Services
• Clinica Counseling
• Clinical Diagnostic Services, LLC
• Clinical Therapeutic Support LCSW PC
• Carlton Clinkscales Jr.
• Joel A. Clipperton, R. EEG T., CLTM
• Edith Clogg, RDN
• Kimberly M Clonts, NP

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.