Active NPI
Thomas Patrick Beresford, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1306952346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33187
- Practice address
- 1055 Clermont Street (116)
Denver, CO 80220-0116 - Phone
- (303) 399-8020
- Fax
- (303) 393-4683
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33187 | CO | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 33187 | CO |
Addresses
Primary practice location
1055 Clermont Street (116)
Denver, CO 80220-0116
Mailing address
6410 S Olathe St
Centennial, CO 80016-1034
Phone (303) 690-9149
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1306952346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 S OLATHE ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800161034",
"telephone_number": "303-690-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT STREET (116)",
"city": "DENVER",
"state": "CO",
"postal_code": "802200116",
"telephone_number": "303-399-8020",
"fax_number": "303-393-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERESFORD",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "33187",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CO",
"license": "33187",
"primary": false
}
],
"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 Aug 21, 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.