Individual provider Active NPI

Michelle L West, PH.D.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1013450501
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005186 Issued in CO
Practice address
1890 N Revere CT
Aurora, CO 80045-7464
Phone
(303) 724-1669
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 10309 MA
Clinical Psychologist 103TC0700X 10309 MA
Clinical Psychologist 103TC0700X PSY.0005186 CO Primary

Addresses

Primary practice location

1890 N Revere CT
Aurora, CO 80045-7464

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

13001 E 17th Pl Fl 2
Aurora, CO 80045-2570
Phone (303) 724-1000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200529001192 CO Practitioner - Clinical Psychologist 7911328919 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Colorado Hospital Authority CurrentSince Jun 1, 2020 Accepting new patients
University Physicians Incorporated CurrentSince Jun 1, 2020 Accepting new patients
University Physicians, Incorporated CurrentSince Jun 1, 2020 Accepting new patients
University of Colorado Hospital Authority CurrentSince Jun 1, 2020 Accepting new patients

Locations

1890 N Revere Ct
Ste 5040
Aurora, CO 80045
Phone (303) 274-4716

1890 N Revere Ct
Ste 5240
Aurora, CO 80045
Phone (303) 724-3300

1890 N Revere Ct
Aurora, CO 80045
Phone (303) 724-1000

1890 N Revere Ct
#5240
Aurora, CO 80045
Phone (303) 724-3300

13001 E 17th Pl
Fl 2
Aurora, CO 80045
Phone (303) 724-1000

1890 N Revere Ct
Ste 4020
Aurora, CO 80045
Phone (303) 724-1000

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

Dept 1061
Denver, CO 80256

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

Organizations & group practices 4

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1013450501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N REVERE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457464",
            "telephone_number": "303-724-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "303-724-1000",
            "fax_number": "303-724-9472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "10309",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10309",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.