Individual provider Active NPI

Weston Verlaine Donaldson, PHD

  • Clinical Psychologist
  • Arvada, CO
National Provider Identifier
1114368594
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004306 Issued in CO
Practice address
8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone
(303) 557-0855
Fax
(720) 336-3149
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0004306 CO Primary

Addresses

Primary practice location

8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928

Mailing address

8175 Sheridan Blvd Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

Other practice location 1

11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (303) 617-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114368594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 SHERIDAN BLVD UNIT N",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031928",
            "telephone_number": "303-557-0855",
            "fax_number": "720-336-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 SHERIDAN BLVD UNIT N",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031928",
            "telephone_number": "303-557-0855",
            "fax_number": "720-336-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142637",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "WESTON",
        "middle_name": "VERLAINE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.