Meshkin B Amirirad, CLINICALPSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005165 Issued in CO

Practice address

1492 S Jellison St
Lakewood, CO 80232-5025

Phone

(928) 284-0600

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Denver West Psychological Services and Research LLC

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1033757836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1114346343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S JELLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S JELLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325025",
            "telephone_number": "928-284-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRIRAD",
        "first_name": "MESHKIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "CLINICALPSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• America'S Wellness Clinic LLC
• American Current Care PA
• American Current Care PA
• American Transit Express
• Ameriquest Personnel, Inc.
• Amiscia LLC
• Chelsea Ammons
• Hilarea Amthauer, MPH, RN, BSN
• Jeffrey A Amundson, M.D.
• Amy'S Holistic Health LLC

• 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 May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.