Active NPI
Jordan Wolfsohn, PSY.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1326486325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4335
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4335 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma District Hospital | Current | Accepting new patients | |
| Yuma District Hospital | Current | Accepting new patients | |
| Yuma District Hospital | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Critical Access Hospital
- Yuma, CO
- NPI 1629074182
-
- Critical Access Hospital Clinic/Center
- Yuma, CO
- NPI 1841343407
-
- Rural Health Clinic/Center
- Yuma, CO
- NPI 1144227588
-
- Rural Health Clinic/Center
- Akron, CO
- NPI 1730185323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.