Individual provider Active NPI

Aimee Elizabeth Niebuhr Sullivan, PH.D.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1225436918
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4174 Issued in CO
Practice address
13199 E Montview Blvd
Suite 330, Mail Stop F550
Aurora, CO 80045-7202
Phone
(303) 724-3300
Fax
(303) 724-4698
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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 4174 CO Primary

Addresses

Primary practice location

13199 E Montview Blvd
Suite 330, Mail Stop F550
Aurora, CO 80045-7202

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other names 1

  • Aimee Niebuhr Former name

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
I20150312000209 CO Practitioner - Clinical Psychologist 7214253186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4174COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Jan 1, 2015 Accepting new patients
University Physicians, Incorporated CurrentSince Jan 1, 2015 Accepting new patients
University Physicians Incorporated Psychologist PastSince Dec 1, 2020 Accepting new patients

Locations

1890 N Revere Ct
Ste 5240
Aurora, CO 80045
Phone (303) 724-3300

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13199 E Montview Blvd
Ste 330
Aurora, CO 80045
Phone (303) 724-3300

Dept 1061
Denver, CO 80256

Organizations & group practices 3

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1225436918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13199 E MONTVIEW BLVD",
            "address_2": "SUITE 330, MAIL STOP F550",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457202",
            "telephone_number": "303-724-3300",
            "fax_number": "303-724-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH NIEBUHR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "NIEBUHR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.