Individual provider Active NPI

William Raymond Todd IV, PH.D.

  • Counseling Psychologist
  • Denver, CO
National Provider Identifier
1174805345
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3251 Issued in CO
Practice address
3773 E Cherry Creek North Dr
Suite 735 - East Tower
Denver, CO 80209-3804
Phone
(720) 544-3090
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3251 CO Primary

Addresses

Primary practice location

3773 E Cherry Creek North Dr
Suite 735 - East Tower
Denver, CO 80209-3804

Mailing address

3773 E Cherry Creek North Dr
Suite 735 - East Tower
Denver, CO 80209-3804
Phone (720) 544-3090

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

LicenseStateTypeSpecialty
3251COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1174805345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 E CHERRY CREEK NORTH DR",
            "address_2": "SUITE 735 - EAST TOWER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093804",
            "telephone_number": "720-544-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 E CHERRY CREEK NORTH DR",
            "address_2": "SUITE 735 - EAST TOWER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093804",
            "telephone_number": "720-544-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "WILLIAM",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.