Jody Kircher, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-3083 Issued in CO

Practice address

9085 E Mineral Cir Ste 235
Centennial, CO 80112-3400

Phone

(303) 862-2501

NPI assigned

Jan 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 29, 2019 through Jul 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jody Kircher, PSYD, LLC

  • Clinical Psychologist
  • Centennial, CO
  • NPI 1215334511
  NPD (past) Authorized official

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1013247089",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "556 O'CONNOR DRIVE, UNIT 108",
            "city": "KINGSTON",
            "state": "ONTARIO",
            "postal_code": "K7P 1N3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 235",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123400",
            "telephone_number": "303-862-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHER",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203213",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY-3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Camille King, MED, BCBA
• Mary Heather King, PA-C
• Melissa King
• Scott King, D.C.
• Kinova Medical Supply Inc.
• Mark L Kirchhofer, PH.D.
• Candace Kirchner
• Cher Kirk, LPC
• Mackenzi Kirschner
• Kelsey Kispert

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.