Individual provider Active NPI

William Staudenmaier, PH.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1376527267
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
715 Issued in CO
Practice address
90 Madison St
Suite 306
Denver, CO 80206-5418
Phone
(303) 698-9000
Fax
(303) 388-8008
NPI assigned
Dec 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 715 CO Primary

Addresses

Primary practice location

90 Madison St
Suite 306
Denver, CO 80206-5418

Mailing address

90 Madison St
Suite 306
Denver, CO 80206-5418
Phone (303) 698-9000

Other identifiers 2

IdentifierTypeStateIssuer
715OtherCOLICENSED PSYCHOLOGIST
07007156MedicaidCO

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
715COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376527267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "303-698-9000",
            "fax_number": "303-388-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST",
            "address_2": "SUITE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "303-698-9000",
            "fax_number": "303-388-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDENMAIER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "715",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07007156",
            "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 Jul 13, 2026; 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.