NPIMap

Individual provider Active NPI

Dustin Goerlitz, PHD

  • Clinical Psychologist
  • Lone Tree, CO
National Provider Identifier
1093408015
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0006603 Issued in CO
Practice address
9540 Park Meadows Dr
Lone Tree, CO 80124-2894
Phone
(720) 848-0000
NPI assigned
May 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0006603 CO Primary

Addresses

Primary practice location

9540 Park Meadows Dr
Lone Tree, CO 80124-2894

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone (408) 710-9045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003715 CO Practitioner - Clinical Psychologist 3678093192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Colorado School of Medicine, Aurora, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

9540 Park Meadows Dr
Lone Tree, CO 80124-2894
Phone (720) 848-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Feb 1, 2025 Accepting new patients
University Physicians Incorporated CurrentSince Feb 1, 2025 Accepting new patients
University Physicians Incorporated Current Accepting new patients
University Physicians Incorporated PastSince Dec 24, 2023 Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

5495 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-4515

1022 Depot Hill Rd
Broomfield, CO 80020
Phone (303) 465-2323

7960 S University Blvd
Ste 101
Centennial, CO 80122
Phone (303) 788-3100

8959 E 40th Ave
Ste 250
Denver, CO 80238
Phone (720) 462-2263

3055 Roslyn St
Unit 100
Denver, CO 80238
Phone (720) 553-2695

Dept 1061
Denver, CO 80256

7400 E Crestline Cir
Ste 100
Greenwood Village, CO 80111
Phone (303) 770-4227

8080 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 346-8828

9540 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 516-9014

361 Centennial Pkwy
Ste 120
Louisville, CO 80027
Phone (303) 465-2323

7403 Church Ranch Blvd
Unit 107
Westminster, CO 80021
Phone (720) 848-9000

Organizations & group practices 4

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

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1093408015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242894",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Depot Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201068",
            "country_code": "US",
            "telephone_number": "408-710-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOERLITZ",
        "first_name": "DUSTIN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.