Active NPI
Kirk Lang Thoreson, PSY.D.
- Clinical Child & Adolescent Psychologist
- Denver, CO
National Provider Identifier
1083893630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2891
- Practice address
- 1776 S Jackson St
Suite 207
Denver, CO 80210-3801 - Phone
- (303) 550-0030
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2891 | CO | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2891 | CO | Primary |
Addresses
Primary practice location
1776 S Jackson St
Suite 207
Denver, CO 80210-3801
Mailing address
1776 S Jackson St
Suite 207
Denver, CO 80210-3801
Phone (303) 550-0030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1083893630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST",
"address_2": "SUITE 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802103801",
"telephone_number": "303-550-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST",
"address_2": "SUITE 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802103801",
"telephone_number": "303-550-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORESON",
"first_name": "KIRK",
"middle_name": "LANG",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2891",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "2891",
"primary": true
}
],
"identifiers": [],
"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 Oct 31, 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.