Active NPI
Alicia Samaniego Wuth, PSYD
- Psychologist
- Denver, CO
National Provider Identifier
1366216889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY.0005519
- Practice address
- 2565 E Alameda Cir
Denver, CO 80209-3201 - Phone
- (303) 810-1956
- NPI assigned
- Nov 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0005519 | CO | Primary |
Addresses
Primary practice location
2565 E Alameda Cir
Denver, CO 80209-3201
Mailing address
2565 E Alameda Cir
Denver, CO 80209-3201
Phone (303) 810-1956
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 |
|---|---|---|---|
| PSY.0005519 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1366216889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 E ALAMEDA CIR",
"city": "DENVER",
"state": "CO",
"postal_code": "802093201",
"telephone_number": "303-810-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 E ALAMEDA CIR",
"city": "DENVER",
"state": "CO",
"postal_code": "802093201",
"telephone_number": "303-810-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUTH",
"first_name": "ALICIA",
"middle_name": "SAMANIEGO",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0005519",
"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 Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.