Organization Active NPI

University of Colorado School of Medicine

  • Health Psychologist
  • Aurora, CO
National Provider Identifier
1295040913
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
2926 Issued in CO
Legal business name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Practice address
1784 Racine St
Room R09-130
Aurora, CO 80045-7144
Phone
(303) 724-6327
Fax
(303) 724-3717
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. John Louis Mahalik, PH.D., M.P.A.
Title
Psychologist
Phone
(303) 724-6327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X 2926 CO Primary

Addresses

Primary practice location

1784 Racine St
Room R09-130
Aurora, CO 80045-7144

Mailing address

1784 Racine St
Room R09-130
Aurora, CO 80045-7144
Phone (303) 724-6327

National Provider Directory

National Provider Directory
Tax ID family
Biochemical Genetics la55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1784 Racine St
Rm R9130
Aurora, CO 80045
Phone (303) 724-6327

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1295040913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 RACINE ST",
            "address_2": "ROOM R09-130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457144",
            "telephone_number": "303-724-6327",
            "fax_number": "303-724-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 RACINE ST",
            "address_2": "ROOM R09-130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457144",
            "telephone_number": "303-724-6327",
            "fax_number": "303-724-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "MAHALIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-724-6327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.P.A."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.