Individual provider Active NPI

Ronald Keene Hueftle, PHD

  • Psychologist
  • Lakewood, CO
National Provider Identifier
1003969379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1896 Issued in CO
Practice address
445 Union Blvd
Ste 221
Lakewood, CO 80401
Phone
(303) 271-1213
Fax
(303) 987-3455
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1896 CO Primary

Addresses

Primary practice location

445 Union Blvd
Ste 221
Lakewood, CO 80401

Mailing address

445 Union Blvd
Ste 221
Lakewood, CO 80401
Phone (303) 271-1213

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1896COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Hueftle, PH.D., P.C. Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003969379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD",
            "address_2": "STE 221",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-271-1213",
            "fax_number": "303-987-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD",
            "address_2": "STE 221",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-271-1213",
            "fax_number": "303-987-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEFTLE",
        "first_name": "RONALD",
        "middle_name": "KEENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.