Individual provider Active NPI

Jessica Geller

  • Health Psychologist
  • Denver, CO
National Provider Identifier
1013300243
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
PSY.0004716 Issued in CO
Practice address
950 N Logan St Ste 101
Denver, CO 80203-3009
Phone
(303) 476-8165
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X PSY.0004716 CO Primary

Addresses

Primary practice location

950 N Logan St Ste 101
Denver, CO 80203-3009

Mailing address

1600 Glenarm PL Apt 1002
Denver, CO 80202-4315

Other practice location 1

1055 Clermont St
Denver, CO 80220-3808
Phone (303) 476-8165

Other practice location 2

1200 Larimer Street
Room 5002
Denver, CO 80203
Phone (303) 476-8165

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

State licenses

LicenseStateTypeSpecialty
PSY.0004716COMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013300243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GLENARM PL APT 1002",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N LOGAN ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033009",
            "telephone_number": "303-476-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Clermont St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203808",
            "country_code": "US",
            "telephone_number": "303-476-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Larimer Street",
            "address_2": "Room 5002",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80203",
            "country_code": "US",
            "telephone_number": "303-476-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "PSY.0004716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.