Active NPI
William Menaker, PH.D.
- Clinical Psychologist
- Centennial, CO
National Provider Identifier
1073701413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2840
- Practice address
- 3979 E Arapahoe Rd
Suite 200
Centennial, CO 80122-2072 - Phone
- (303) 877-4407
- NPI assigned
- Oct 10, 2007
- 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 | 2840 | CO | Primary |
Addresses
Primary practice location
3979 E Arapahoe Rd
Suite 200
Centennial, CO 80122-2072
Mailing address
11653 Hillcrest Rd
Golden, CO 80403-8556
Phone (303) 642-1231
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2840 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1073701413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11653 HILLCREST RD",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804038556",
"telephone_number": "303-642-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3979 E ARAPAHOE RD",
"address_2": "SUITE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801222072",
"telephone_number": "303-877-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENAKER",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.