Organization Active NPI

Heather Carroll, PSYD, PLLC

  • Clinical Child & Adolescent Psychologist
  • Denver, CO
National Provider Identifier
1023552239
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3706 Issued in CO
Legal business name
HEATHER CARROLL, PSYD, PLLC
Practice address
2121 S Oneida St Ste 540
Denver, CO 80224-2554
Phone
(303) 756-1355
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Heather Carroll, PSYD
Title
Licensed Psychologist
Phone
(303) 756-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 3706 CO Primary

Addresses

Primary practice location

2121 S Oneida St Ste 540
Denver, CO 80224-2554

Mailing address

2121 S Oneida St Ste 540
Denver, CO 80224-2554
Phone (303) 756-1355

National Provider Directory

National Provider Directory

Locations

2121 S Oneida St
Ste 540
Denver, CO 80224
Phone (303) 300-2999

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1023552239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 540",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242554",
            "telephone_number": "303-756-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 540",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242554",
            "telephone_number": "303-756-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER CARROLL, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-756-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "3706",
            "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 Dec 6, 2016; 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.