Active NPI
Judith Hall Spendelow, MSW, PSY.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1376651414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2467
- Practice address
- 3955 E. Exposition Ave.
Suite 202
Denver, CO 80209 - Phone
- (303) 777-5058
- Fax
- (303) 316-7352
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2467 | CO | Primary |
| Family Psychologist | 103TF0000X | 2467 | CO |
Addresses
Primary practice location
3955 E. Exposition Ave.
Suite 202
Denver, CO 80209
Mailing address
3955 E. Exposition Ave.
Suite 202
Denver, CO 80209
Phone (303) 777-5058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417962234 | Other | CO | GROUP NPI |
| 841044412 | Other | CO | PRACTISE TAX ID |
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 |
|---|---|---|---|
| 2467 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Center for Relational Healing | Current | Accepting new patients | |
| Misgelow Enterprises LLC | Clinical | Past | Accepting new patients |
| Samaritan Counseling Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Denver, CO
- NPI 1811683535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1376651414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 E. EXPOSITION AVE.",
"address_2": "SUITE 202",
"city": "DENVER",
"state": "CO",
"postal_code": "80209",
"telephone_number": "303-777-5058",
"fax_number": "303-316-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 E. EXPOSITION AVE.",
"address_2": "SUITE 202",
"city": "DENVER",
"state": "CO",
"postal_code": "80209",
"telephone_number": "303-777-5058",
"fax_number": "303-316-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENDELOW",
"first_name": "JUDITH",
"middle_name": "HALL",
"name_prefix": "Dr.",
"credential": "MSW, PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2467",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CO",
"license": "2467",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1417962234",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTISE TAX ID",
"identifier": "841044412",
"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 Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.