Individual provider Active NPI

Patrick Joseph Schwartz, PSYD

  • Psychologist
  • Englewood, CO
National Provider Identifier
1164538930
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1510 Issued in CO
Practice address
3597 S Pearl St Ste 100
Englewood, CO 80113-3873
Phone
(303) 643-8847
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1510 CO Primary

Addresses

Primary practice location

3597 S Pearl St Ste 100
Englewood, CO 80113-3873

Mailing address

1551 S Macon St
Aurora, CO 80012-5140
Phone (033) 643-8847

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041101000755 CO Practitioner - Clinical Psychologist 6800879156 Practice locations: Westminster, CO; Englewood, CO; Centennial, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 S Fraser Way
Aurora, CO 80012-3794

1551 S Macon St
Aurora, CO 80012-5140

3597 S Pearl St
Suite 100
Englewood, CO 80113-3873
Phone (303) 643-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brief Therapy Institute of Denver, Inc Past Accepting new patients
Westside Behavioral Care, Inc. Psychologist PastSince Apr 30, 2003 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1164538930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S MACON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125140",
            "telephone_number": "033-643-8847",
            "fax_number": "303-337-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 S PEARL ST STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133873",
            "telephone_number": "303-643-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.