Individual provider Active NPI

Judy Pomerantz, PSY D

  • Psychologist
  • Glendale, CO
National Provider Identifier
1003927955
Registry record updated Nov 10, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Feb 18, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2046 Issued in CO
Practice address
4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048
Phone
(303) 759-3098
Fax
(303) 759-3515
NPI assigned
Aug 31, 2006
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2046 CO Primary

Addresses

Primary practice location

4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048

Mailing address

4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048
Phone (303) 759-3098

Other identifiers 1

IdentifierTypeStateIssuer
87020464MedicaidCO

Other names 1

  • Dr. Judy Pomerantz Professional name

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2046COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Professional Psychological Group, P.C. PastSince Jul 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1003927955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE",
            "address_2": "SUITE 600",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463048",
            "telephone_number": "303-759-3098",
            "fax_number": "303-759-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE",
            "address_2": "SUITE 600",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463048",
            "telephone_number": "303-759-3098",
            "fax_number": "303-759-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87020464",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "POMERANTZ",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glendale, CO

Sources for this page

Verify at the official NPI Registry.