Active NPI
Mary Beth Selner O'Hagan, PHD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1104494301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2045
- Practice address
- 5290 E Yale Cir Ste 207
Denver, CO 80222-6933 - Phone
- (303) 918-9934
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2045 | CO | Primary |
Addresses
Primary practice location
5290 E Yale Cir Ste 207
Denver, CO 80222-6933
Mailing address
5290 E Yale Cir Ste 207
Denver, CO 80222-6933
Phone (303) 918-9934
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1104494301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5290 E YALE CIR STE 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802226933",
"telephone_number": "303-918-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 E YALE CIR STE 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802226933",
"telephone_number": "303-918-9934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HAGAN",
"first_name": "MARY BETH",
"middle_name": "SELNER",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2045",
"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 Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.