Herman Staudenmayer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

684 Issued in CO

Practice address

5800 E Evans Ave
20-B
Denver, CO 80222-5311

Phone

(303) 758-8934

Fax

(303) 758-6840

NPI assigned

Feb 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Counseling & Consulting

  • Clinical Neuropsychologist
  • Franktown, CO
  • NPI 1417326232
  NPD (past) Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285607234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E EVANS AVE",
            "address_2": "20-B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225311",
            "telephone_number": "303-758-8934",
            "fax_number": "303-758-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E EVANS AVE",
            "address_2": "20-B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225311",
            "telephone_number": "303-758-8934",
            "fax_number": "303-758-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDENMAYER",
        "first_name": "HERMAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07104599",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleni Theodora Stathopulos
• Statlab Diagnostics, LLC
• Barbara D Statland, MD
• Elizabeth Staudacher
• William Staudenmaier, PH.D.
• Brian L Stauffer, MD
• Christine Ann Stauffer, FNP
• Erinn Christine Stauter, M.D.
• Shelby Lenae Stavely, CCC/SLP
• Pamela Jean Staves, NP

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.