Active NPI
Cheryl Jepsen Providence, PHD
- Psychologist
- Englewood, CO
National Provider Identifier
1093874026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2307
- Practice address
- 7400 East Arapahoe Road
Suite 212
Englewood, CO 80112 - Phone
- (303) 741-1077
- Fax
- (303) 741-1078
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2307 | CO | Primary |
Addresses
Primary practice location
7400 East Arapahoe Road
Suite 212
Englewood, CO 80112
Mailing address
7400 East Arapahoe Road
Suite 212
Englewood, CO 80112
Phone (303) 741-1077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80529046 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Center for Neurological Rehabilitation | Past | Accepting new patients | |
| Colorado Center for Neurological Rehabilitation Inc | Psychologist | Past | Accepting new patients |
| Senior Connections of Texas, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nursing Facility/Intermediate Care Facility
- Centennial, CO
- NPI 1174894034
-
- Counselor
- Englewood, CO
- NPI 1144389172
Psychologist
-
- Clinical Psychologist
- Austin, TX
- NPI 1831368703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1093874026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 EAST ARAPAHOE ROAD",
"address_2": "SUITE 212",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "80112",
"telephone_number": "303-741-1077",
"fax_number": "303-741-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 EAST ARAPAHOE ROAD",
"address_2": "SUITE 212",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "80112",
"telephone_number": "303-741-1077",
"fax_number": "303-741-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVIDENCE",
"first_name": "CHERYL",
"middle_name": "JEPSEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80529046",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.