Active NPI
Danielle Therson, PSYD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1346648771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3101
- Practice address
- 2450 S Vine St
Denver, CO 80210-5264 - Phone
- (303) 871-3626
- Fax
- (303) 871-3625
- NPI assigned
- Dec 17, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PY60900766 | WA | |
| Forensic Psychologist | 103TF0200X | 3101 | OR | |
| Forensic Psychologist | 103TF0200X | PY60900766 | WA | |
| Clinical Psychologist | 103TC0700X | 3101 | OR | Primary |
Addresses
Primary practice location
2450 S Vine St
Denver, CO 80210-5264
Mailing address
5706 NW 149TH St
Vancouver, WA 98685-1272
Phone (720) 675-9325
Other practice location 1
5706 NW 149th St
Vancouver, WA 98685-1272
Phone (720) 675-9325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60900766 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1346648771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 NW 149TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851272",
"telephone_number": "720-675-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S VINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802105264",
"telephone_number": "303-871-3626",
"fax_number": "303-871-3625"
}
],
"practiceLocations": [
{
"address_1": "5706 NW 149th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986851272",
"country_code": "US",
"telephone_number": "720-675-9325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THERSON",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60900766",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OR",
"license": "3101",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WA",
"license": "PY60900766",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3101",
"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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.