Active NPI
Judy Pomerantz, PSY D
- Psychologist
- Glendale, CO
National Provider Identifier
1003927955
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.
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2046
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87020464 | Medicaid | CO |
Other names 1
- Dr. Judy Pomerantz
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2046 | CO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Professional Psychological Group, P.C. | Past | 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.
-
- Clinical Psychologist
- Glendale, CO
- NPI 1043513617
-
- Adult Mental Health Clinic/Center
- Denver, CO
- NPI 1992893598
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
- Vanessa Marie Padilla, MA, LPC
- Jeffrey Kevin Parker, MA, NCC
- Brandon John Perticone, PHARMD
- Deanne Lynn Phillips, CFPNP
- Emily Irene Poliseo, MA CCC SLP
- Audrey-Carmel Porter, PHARMD
- Portercare Adventist Health System (South Denver Cardiology Cherry Creek)
- Portercare Adventist Health System (AdventHealth Medical Group Family Medicine at Cherry Creek)
- Sophia Postma, PHARMD
- Justin Ryan Potocki
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.