Individual provider Active NPI

Katherine K Bellon, PH.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1205903341
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3782 Issued in CO
Practice address
1777 S Harrison St
Suite 800
Denver, CO 80210-3925
Phone
(303) 300-6564
Fax
(303) 756-2872
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3782 CO Primary

Addresses

Primary practice location

1777 S Harrison St
Suite 800
Denver, CO 80210-3925

Mailing address

1777 S Harrison St
Suite 800
Denver, CO 80210-3925
Phone (303) 300-6564

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
3782COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1205903341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST",
            "address_2": "SUITE 800",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103925",
            "telephone_number": "303-300-6564",
            "fax_number": "303-756-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST",
            "address_2": "SUITE 800",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103925",
            "telephone_number": "303-300-6564",
            "fax_number": "303-756-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLON",
        "first_name": "KATHERINE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3782",
            "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 Mar 18, 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.