Active NPI
Heather Eve Wedgle, PSY.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1154596617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3350
- Practice address
- 4495 Hale Pkwy Ste 110
Denver, CO 80220-6203 - Phone
- (720) 581-4620
- Fax
- (303) 923-8600
- NPI assigned
- Apr 25, 2008
- 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 | 3350 | CO | Primary |
Addresses
Primary practice location
4495 Hale Pkwy Ste 110
Denver, CO 80220-6203
Mailing address
521 S Magnolia LN
Denver, CO 80224-1524
Phone (720) 581-4620
Other practice location 1
10201 E 3rd Ave
Aurora, CO 80010-4301
Phone (303) 364-3364
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12089362 | Other | CO | CAQH PIN |
| PSY.0003350 | Other | CO | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| 3350 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr, Heather Wedgle, Psy.D., LLC | Clinical | Past | Accepting new patients |
| Women'S Mental Health Associates, PC | 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.
-
- Clinical Psychologist
- Denver, CO
- NPI 1699084947
-
- Psychologist
- Denver, CO
- NPI 1073557807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1154596617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 S MAGNOLIA LN",
"city": "DENVER",
"state": "CO",
"postal_code": "802241524",
"telephone_number": "720-581-4620",
"fax_number": "303-923-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 HALE PKWY STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "802206203",
"telephone_number": "720-581-4620",
"fax_number": "303-923-8600"
}
],
"practiceLocations": [
{
"address_1": "10201 E 3rd Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800104301",
"country_code": "US",
"telephone_number": "303-364-3364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEDGLE",
"first_name": "HEATHER",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PIN",
"identifier": "12089362",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "PSY.0003350",
"state": "CO"
}
],
"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 Jan 7, 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.