Individual provider Active NPI

Daniel G. Severn, DO

  • Psychiatry Physician
  • Florence, CO
National Provider Identifier
1003962788
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR 45013 Issued in CO
Practice address
5880 State Highway 67 South
Florence
Florence, CO 81226
Phone
(719) 784-9100
Fax
(719) 784-5065
NPI assigned
Jan 26, 2007
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR 45013 CO Primary

Addresses

Primary practice location

5880 State Highway 67 South
Florence
Florence, CO 81226

Mailing address

742 Concerto Dr
Colorado Springs, CO 80906-5972
Phone (303) 870-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000355 CO Practitioner - PsychiatryPractitioner - Other (Physician) 6901974997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
92.15
Promoting interoperability
100
Improvement activities
40
Cost
80.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR 45013COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Mar 27, 2013 Accepting new patients
Denver Health and Hospital Authority CurrentSince Mar 27, 2013 Accepting new patients
Federal Bureau of Prisons Past Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

Interoperability endpoints

  • Direct secure messaging: dsevern11445@direct.dhha.org

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1003962788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 CONCERTO DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065972",
            "telephone_number": "303-870-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 STATE HIGHWAY 67 SOUTH",
            "address_2": "FLORENCE",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "81226",
            "telephone_number": "719-784-9100",
            "fax_number": "719-784-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERN",
        "first_name": "DANIEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR 45013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, CO

Sources for this page

Verify at the official NPI Registry.