Organization Active NPI

Dana a. Max, Psy.D., P.C.

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1265618318
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CO 1925 Issued in CO
Legal business name
DANA A. MAX, PSY.D., P.C.
Practice address
5860 S Curtice St
Littleton, CO 80120-1909
Phone
(303) 347-8498
Fax
(303) 347-2011
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Dana Allen Max, PSY.D.NPI 1851335517
Title
President
Phone
(303) 347-8498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X CO 1925 CO Primary

Addresses

Primary practice location

5860 S Curtice St
Littleton, CO 80120-1909

Mailing address

5860 S Curtice St
Littleton, CO 80120-1909
Phone (303) 347-8498

Other identifiers 1

IdentifierTypeStateIssuer
07019250MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005000880 CO Part B Supplier - Clinic/Group Practice 7517992894 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

5808 S Rapp St
#200
Littleton, CO 80120
Phone (303) 347-8498

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1265618318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201909",
            "telephone_number": "303-347-8498",
            "fax_number": "303-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201909",
            "telephone_number": "303-347-8498",
            "fax_number": "303-347-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA A. MAX, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MAX",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-347-8498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "CO 1925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07019250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.