Active NPI
Jacqueline Margaux Kantor, PHD
- Clinical Psychologist
- Englewood, CO
National Provider Identifier
1083132583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0005912
- Practice address
- 333 W Hampden Ave Ste 1040
Englewood, CO 80110-2347 - Phone
- (720) 230-6664
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Psychologist | 103TC0700X | PSYC00014730 | CO | |
| Clinical Psychologist | 103TC0700X | PSY.0005912 | CO | Primary |
Addresses
Primary practice location
333 W Hampden Ave Ste 1040
Englewood, CO 80110-2347
Mailing address
333 W Hampden Ave Ste 1040
Englewood, CO 80110-2347
Other practice location 1
660 Bannock St
Denver, CO 80204-4506
Phone (720) 738-8420
Other practice location 2
610 Elm St Ste 212
San Carlos, CA 94070-3070
Phone (650) 591-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005912 | CO | MD | Clinical Psychologist |
| PSYC00014730 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1083132583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W HAMPDEN AVE STE 1040",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W HAMPDEN AVE STE 1040",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102347",
"telephone_number": "720-230-6664"
}
],
"practiceLocations": [
{
"address_1": "660 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044506",
"country_code": "US",
"telephone_number": "720-738-8420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Elm St Ste 212",
"address_purpose": "LOCATION",
"city": "San Carlos",
"state": "CA",
"postal_code": "940703070",
"country_code": "US",
"telephone_number": "650-591-9623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANTOR",
"first_name": "JACQUELINE",
"middle_name": "MARGAUX",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSYC00014730",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005912",
"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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.