Individual provider Active NPI

Erik R Newman

  • Clinical Child & Adolescent Psychologist
  • Lone Tree, CO
National Provider Identifier
1083843189
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY.0004412 Issued in CO
Practice address
9233 Park Meadows Dr Ste 227
Lone Tree, CO 80124-5426
Phone
(720) 464-7385
Fax
(720) 210-9777
NPI assigned
Jul 9, 2009
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY.0004412 CO Primary

Addresses

Primary practice location

9233 Park Meadows Dr Ste 227
Lone Tree, CO 80124-5426

Mailing address

9233 Park Meadows Dr Ste 227
Lone Tree, CO 80124-5426
Phone (720) 464-7385

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

State licenses

LicenseStateTypeSpecialty
PSY.0004412COMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy Services of San Diego, Inc. Clinical Child & Adolescent CurrentSince Aug 18, 2019 Accepting new patients

Locations

9233 Park Meadows Dr
Ste 227
Lone Tree, CO 80124
Phone (720) 445-9468

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1083843189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 PARK MEADOWS DR STE 227",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245426",
            "telephone_number": "720-464-7385",
            "fax_number": "720-210-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 PARK MEADOWS DR STE 227",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245426",
            "telephone_number": "720-464-7385",
            "fax_number": "720-210-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ERIK",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "PSY.0004412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.