Active NPI
Stuart H Swenson, PHD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1174551477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040226A
- Practice address
- 2185 Broadway
Denver, CO 80205-2534 - Phone
- (877) 838-4783
- Fax
- (888) 617-8611
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 20040226A | IN | Primary |
Addresses
Primary practice location
2185 Broadway
Denver, CO 80205-2534
Mailing address
2185 Broadway
Denver, CO 80205-2534
Phone (877) 838-4783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000369664 | Other | IN | ANTHEM |
| 100201330B | Medicaid | IN | |
| 680015790 | Other | IN | TRI-CARE |
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 |
|---|---|---|---|
| 20040226A | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1174551477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052534",
"telephone_number": "877-838-4783",
"fax_number": "888-617-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052534",
"telephone_number": "877-838-4783",
"fax_number": "888-617-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "STUART",
"middle_name": "H",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040226A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000369664",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100201330B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "680015790",
"state": "IN"
}
],
"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 May 30, 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.