Individual provider Active NPI

Anna Paige Kroncke, PHD

  • Clinical Psychologist
  • Glendale, CO
National Provider Identifier
1184930109
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3474 Issued in CO
Practice address
400 S Colorado Blvd
Suite 860
Glendale, CO 80246-1253
Phone
(303) 322-9000
Fax
(303) 322-9001
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3474 CO Primary
Clinical Psychologist 103TC0700X PSY003334 GA
School Psychologist 103TS0200X 35533 GA

Addresses

Primary practice location

400 S Colorado Blvd
Suite 860
Glendale, CO 80246-1253

Mailing address

400 S Colorado Blvd
Suite 860
Glendale, CO 80246-1253
Phone (303) 322-9000

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3474COMDProfessional Counselor
PSY003334GAMDClinical Psychologist
35533GAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1184930109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 860",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461253",
            "telephone_number": "303-322-9000",
            "fax_number": "303-322-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLORADO BLVD",
            "address_2": "SUITE 860",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461253",
            "telephone_number": "303-322-9000",
            "fax_number": "303-322-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONCKE",
        "first_name": "ANNA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3474",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003334",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "GA",
            "license": "35533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.