Individual provider Active NPI

Michelle D Dawson, PSYD

  • Psychologist
  • Englewood, CO
National Provider Identifier
1083780332
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3013 Issued in CO
Practice address
6059 S Quebec St Ste 201
Englewood, CO 80111-4523
Phone
(303) 517-2111
NPI assigned
Nov 28, 2006
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3013 CO Primary

Addresses

Primary practice location

6059 S Quebec St Ste 201
Englewood, CO 80111-4523

Mailing address

6059 S Quebec St Ste 201
Englewood, CO 80111-4523
Phone (303) 517-2111

Other practice location 1

6081 S Quebec St
Suite 103
Englewood, CO 80111-4536
Phone (303) 694-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000285 CO Practitioner - Clinical Psychologist 9638686405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6059 S Quebec St
Suite 201
Englewood, CO 80111-4523
Phone 3033035172111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Psychological Services CurrentSince Apr 30, 2025 Accepting new patients

Locations

6059 S Quebec St
Ste 201
Greenwood Village, CO 80111
Phone (303) 303-5172

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1083780332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST STE 201",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114523",
            "telephone_number": "303-517-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 S QUEBEC ST STE 201",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114523",
            "telephone_number": "303-517-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6081 S Quebec St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801114536",
            "country_code": "US",
            "telephone_number": "303-694-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.