Individual provider Active NPI

Jordan Wolfsohn, PSY.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1326486325
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4335 Issued in CO
Practice address
1776 S. Jackson St.
Suite 601
Denver, CO 80210
Phone
(720) 460-0258
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4335 CO Primary

Addresses

Primary practice location

1776 S. Jackson St.
Suite 601
Denver, CO 80210

Mailing address

1776 S Jackson St
Suite 601
Denver, CO 80210-3801
Phone (720) 460-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003126 CO Practitioner - Clinical Psychologist 4385144054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 W 8TH Ave
Yuma, CO 80759-2641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4335COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma District Hospital CurrentSince Aug 1, 2025 Accepting new patients
Yuma District Hospital Current Accepting new patients
Yuma District Hospital CurrentSince Aug 1, 2025 Accepting new patients
Yuma District Hospital Past Accepting new patients

Locations

82 Main Ave
Akron, CO 80720
Phone (970) 345-6336

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1000 W 8th Ave
#C
Yuma, CO 80759
Phone (970) 848-5405

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c3e623e4-47c2-48c0-8c45-866563c97ee6/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1326486325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 601",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "720-460-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S. JACKSON ST.",
            "address_2": "SUITE 601",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "720-460-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSOHN",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.