Organization Active NPI

Sakura Assessment and Therapy, LLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1376041699
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY0004512 Issued in CO
Legal business name
SAKURA ASSESSMENT AND THERAPY, LLC
Practice address
5388 Valentia St
Denver, CO 80238-3842
Phone
(720) 504-7413
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Dr. Amber Williamson, PSYD
Title
Owner; Clinical Psychologist
Phone
(720) 504-7413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY0004512 CO Primary

Addresses

Primary practice location

5388 Valentia St
Denver, CO 80238-3842

Mailing address

5388 Valentia St
Denver, CO 80238-3842
Phone (720) 504-7413

Other identifiers 1

IdentifierTypeStateIssuer
PSY0004512OtherCOPSYCHOLOGY LICENSE

National Provider Directory

National Provider Directory

Locations

1644 Platte St
Fl 2
Denver, CO 80202
Phone (720) 504-7413

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1376041699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 VALENTIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383842",
            "telephone_number": "720-504-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5388 VALENTIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383842",
            "telephone_number": "720-504-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKURA ASSESSMENT AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER; CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-504-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY0004512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY0004512",
            "state": "CO"
        }
    ],
    "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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.