Active NPI
William Lewis, PHD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1063485605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 705
- Practice address
- 4155 E Jewell Ave
Suite 403
Denver, CO 80222-4504 - Phone
- (303) 757-5552
- Fax
- (303) 753-6397
- NPI assigned
- Feb 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 705 | CO | Primary |
Addresses
Primary practice location
4155 E Jewell Ave
Suite 403
Denver, CO 80222-4504
Mailing address
4155 E Jewell Ave
Suite 403
Denver, CO 80222-4504
Phone (303) 757-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07024342 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063485605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 E JEWELL AVE",
"address_2": "SUITE 403",
"city": "DENVER",
"state": "CO",
"postal_code": "802224504",
"telephone_number": "303-757-5552",
"fax_number": "303-753-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 E JEWELL AVE",
"address_2": "SUITE 403",
"city": "DENVER",
"state": "CO",
"postal_code": "802224504",
"telephone_number": "303-757-5552",
"fax_number": "303-753-6397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07024342",
"state": "CO"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.