Active NPI
Albert Leroy Pace IV, PSY.D.
- Psychologist
- Englewood, CO
National Provider Identifier
1033509476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0005129
- Practice address
- 750 W Hampden Ave Ste 415
Englewood, CO 80110-2151 - Phone
- (720) 377-1359
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 0005129 | CO | Primary |
Addresses
Primary practice location
750 W Hampden Ave Ste 415
Englewood, CO 80110-2151
Mailing address
1777 S Bellaire St Ste 390
Denver, CO 80222-4350
Phone (720) 515-4244
Other practice location 1
8000 E Prentice Ave Ste D12
Greenwood Village, CO 80111
Phone (303) 524-5578
Other practice location 2
672 NE Evans St.
McMinnville, OR 97128
Phone (503) 434-7505
Other practice location 3
1777 S Bellaire St Ste 390
Denver, CO 80222
Phone (720) 515-4244
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005129 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1033509476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 S BELLAIRE ST STE 390",
"city": "DENVER",
"state": "CO",
"postal_code": "802224350",
"telephone_number": "720-515-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W HAMPDEN AVE STE 415",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102151",
"telephone_number": "720-377-1359"
}
],
"practiceLocations": [
{
"address_1": "8000 E Prentice Ave Ste D12",
"address_purpose": "LOCATION",
"city": "Greenwood Village",
"state": "CO",
"postal_code": "80111",
"country_code": "US",
"telephone_number": "303-524-5578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "672 NE Evans St.",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "97128",
"country_code": "US",
"telephone_number": "503-434-7505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1777 S Bellaire St Ste 390",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80222",
"country_code": "US",
"telephone_number": "720-515-4244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACE",
"first_name": "ALBERT",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "0005129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.