Organization Active NPI

Judy Pomerantz, Psy.D., P.C.

  • Clinical Psychologist
  • Glendale, CO
National Provider Identifier
1043513617
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2046 Issued in CO
Legal business name
JUDY POMERANTZ, PSY.D., P.C.
Practice address
4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048
Phone
(303) 759-3098
Fax
(303) 759-3515
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Judy Pomerantz, PSY.D.
Title
President
Phone
(303) 759-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2046 CO Primary

Addresses

Primary practice location

4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048

Mailing address

4100 E Mississippi Ave
Suite 600
Glendale, CO 80246-3048
Phone (303) 759-3098

Other identifiers 1

IdentifierTypeStateIssuer
87020464MedicaidCO

National Provider Directory

National Provider Directory

Locations

2975 Valmont Rd
Ste 220
Boulder, CO 80301
Phone (303) 449-2130

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1043513617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE",
            "address_2": "SUITE 600",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463048",
            "telephone_number": "303-759-3098",
            "fax_number": "303-759-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE",
            "address_2": "SUITE 600",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463048",
            "telephone_number": "303-759-3098",
            "fax_number": "303-759-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY POMERANTZ, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "POMERANTZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-759-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87020464",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.