Waymark Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WAYMARK PSYCHOLOGICAL SERVICES, LLC

Practice address

6535 S Dayton St Ste 3650
Greenwood Village, CO 80111-6135

Phone

(720) 695-3369

Fax

(720) 780-2069

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Edward Kelley, PSY.D.NPI 1386295277

Title

Owner

Phone

(720) 695-3369

Specialties & licenses 1

Addresses

Other names 1

• Waymark Psychology Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher E Kelley, PSYD

  • Psychologist
  • Greenwood Village, CO
  • NPI 1386295277
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1013540640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3650",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116135",
            "telephone_number": "720-695-3369",
            "fax_number": "720-780-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3650",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116135",
            "telephone_number": "720-695-3369",
            "fax_number": "720-780-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYMARK PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-695-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waymark Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ann Watson, EDD.,
• Nicole Amy Watson, PMHNP-BC
• Robert Warren Watson Jr., M.D., M.P.H.
• Stacy Wattier, MS CCC SLP
• Nicholas Richard Wawrzyniak, DO, MS
• Adam Fred Weaver, DDS MS
• Lindsey Weaver, MA, CCC-SLP
• Amanda Webb
• Melissa Fair Weber, LPCC, ADDC
• Anika Webster, OTD, OTR/L

• Psychologist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.