Gary Lee Kaake, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1212 Issued in CO

Practice address

8790 W Colfax Ave
Suite 250
Lakewood, CO 80215-4092

Phone

(303) 234-0827

Fax

(303) 234-1771

NPI assigned

Oct 2, 2006

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Gary L. Kaake, PSYD, PC

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1629163720
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1114011558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 W COLFAX AVE",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154092",
            "telephone_number": "303-234-0827",
            "fax_number": "303-234-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 W COLFAX AVE",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154092",
            "telephone_number": "303-234-0827",
            "fax_number": "303-234-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAKE",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1212",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07012123",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "90226",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "229797",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER",
            "identifier": "470920477",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.