NPIMap

Organization Active NPI

Jason a. Seidel, Psy.D. P.C.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1093819567
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2511 Issued in CO
Legal business name
JASON A. SEIDEL, PSY.D. P.C.
Practice address
1720 S Bellaire St
Suite 204
Denver, CO 80222-4304
Phone
(303) 547-3700
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Jason Andrew Seidel, PSY.D.NPI 1396323085
Title
President
Phone
(303) 377-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2511 CO Primary

Addresses

Primary practice location

1720 S Bellaire St
Suite 204
Denver, CO 80222-4304

Mailing address

1720 S Bellaire St
Suite 204
Denver, CO 80222-4304
Phone (303) 547-3700

National Provider Directory

National Provider Directory

Locations

1720 S Bellaire St
Ste 204
Denver, CO 80222
Phone (303) 547-3591

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1093819567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST",
            "address_2": "SUITE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224304",
            "telephone_number": "303-547-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST",
            "address_2": "SUITE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224304",
            "telephone_number": "303-547-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A. SEIDEL, PSY.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-377-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2511",
            "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 Apr 26, 2011; 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.