Active NPI
Elizabeth Kay Peterson, PSYD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1386955680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3420
- Practice address
- 10375 E Harvard Ave
Suite 425
Denver, CO 80231-5939 - Phone
- (303) 636-5600
- Fax
- (303) 636-5620
- NPI assigned
- Jul 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3420 | CO | Primary |
Addresses
Primary practice location
10375 E Harvard Ave
Suite 425
Denver, CO 80231-5939
Mailing address
9900 E Iliff Ave
Denver, CO 80231-3462
Phone (303) 636-5600
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1386955680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 E ILIFF AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802313462",
"telephone_number": "303-636-5600",
"fax_number": "303-636-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10375 E HARVARD AVE",
"address_2": "SUITE 425",
"city": "DENVER",
"state": "CO",
"postal_code": "802315939",
"telephone_number": "303-636-5600",
"fax_number": "303-636-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3420",
"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 Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.