Active NPI
Jeffrey Reznicek-Parrado, PH.D.
- Counseling Psychologist
- Denver, CO
National Provider Identifier
1396278024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY27790
- Practice address
- 950 Magnolia St
Denver, CO 80220-4717 - Phone
- (530) 746-8319
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY4818 | CO | |
| Counseling Psychologist | 103TC1900X | PSY27790 | CA | Primary |
Addresses
Primary practice location
950 Magnolia St
Denver, CO 80220-4717
Mailing address
950 Magnolia St
Denver, CO 80220-4717
Phone (530) 746-8319
Other names 1
- Dr. Jeff Reznicek
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27790 | CA | MD | Counseling Psychologist |
| PSY4818 | CO | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Reznicek PHD | Counseling | Current | Accepting new patients |
| Cook Psychotherapy Incorporated | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counseling Psychologist
- Denver, CO
- NPI 1881392934
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sacramento, CA
- NPI 1003280694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1396278024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 MAGNOLIA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802204717",
"telephone_number": "530-746-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 MAGNOLIA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802204717",
"telephone_number": "530-746-8319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNICEK-PARRADO",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "PSY4818",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY27790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFF",
"last_name": "REZNICEK",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.