Individual provider Active NPI

Samantha D Stein, PSYD

  • Clinical Neuropsychologist
  • Denver, CO
National Provider Identifier
1356828776
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0004833 Issued in CO
Practice address
50 S Steele St Ste 250
Denver, CO 80209-2802
Phone
(720) 449-2499
Fax
(720) 634-0719
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 0004833 CO
Clinical Neuropsychologist 103G00000X 0004833 CO Primary

Addresses

Primary practice location

50 S Steele St Ste 250
Denver, CO 80209-2802

Mailing address

50 S Steele St Ste 250
Denver, CO 80209-2802
Phone (720) 449-2499

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
I20181019000729 CO Practitioner - Clinical Psychologist 1951654094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Neuropsychology Consultants, LLCGroup PAC ID 6709180961, 2 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 839-6293

1805 S Bellaire St
Suite 185
Denver, CO 80222-4381
Phone (720) 449-2499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004833COMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Neuropsychology Consultants, LLC Clinical Neuropsychologist CurrentSince Sep 3, 2018 Accepting new patients

Locations

50 S Steele St
Ste 250
Denver, CO 80209
Phone (720) 449-2499

190 E 9th Ave
Ste 350
Denver, CO 80203
Phone (720) 449-2499

1805 S Bellaire St
Ste 185
Denver, CO 80222
Phone (720) 449-2499

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

Organizations & group practices 1

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1356828776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092802",
            "telephone_number": "720-449-2499",
            "fax_number": "720-634-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092802",
            "telephone_number": "720-449-2499",
            "fax_number": "720-634-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004833",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "0004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.