Individual provider Active NPI

Camille Sinclair

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1326387663
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020954 Issued in NY
Practice address
50 S Steele St Ste 950
Denver, CO 80209
Phone
(845) 533-2789
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0004822 CO
Clinical Psychologist 103TC0700X 020954 NY Primary

Addresses

Primary practice location

50 S Steele St Ste 950
Denver, CO 80209

Mailing address

50 S Steele St Ste 950
Denver, CO 80209-2843
Phone (845) 533-2789

Other practice location 1

50 S Steele St Ste 950
Denver, CO 80209
Phone (845) 533-2789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0004822COMDClinical Psychologist
020954NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1326387663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 950",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092843",
            "telephone_number": "845-533-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 950",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "845-533-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S Steele St Ste 950",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80209",
            "country_code": "US",
            "telephone_number": "845-533-2789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "CAMILLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004822",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.