Active NPI
Marguerite Stewart, PSY.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1316063449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1641
- Practice address
- 3955 E Exposition Ave
# 408
Denver, CO 80209-5000 - Phone
- (303) 778-9989
- Fax
- (303) 871-0992
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1641 | CO | Primary |
Addresses
Primary practice location
3955 E Exposition Ave
# 408
Denver, CO 80209-5000
Mailing address
PO Box 101062
Denver, CO 80250-1062
Phone (303) 778-9989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07016413 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1641 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1316063449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101062",
"city": "DENVER",
"state": "CO",
"postal_code": "802501062",
"telephone_number": "303-778-9989",
"fax_number": "303-871-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 E EXPOSITION AVE",
"address_2": "# 408",
"city": "DENVER",
"state": "CO",
"postal_code": "802095000",
"telephone_number": "303-778-9989",
"fax_number": "303-871-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARGUERITE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07016413",
"state": "CO"
}
],
"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 Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.