Individual provider Active NPI

Hillary Katherine Grady-Speckhals, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1417372087
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5378 Issued in CO
Practice address
3345 W 38TH Ave
Denver, CO 80211-1909
Phone
(303) 500-3407
Fax
(303) 835-4500
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 5378 CO Primary

Addresses

Primary practice location

3345 W 38TH Ave
Denver, CO 80211-1909

Mailing address

3345 W 38TH Ave
Denver, CO 80211-1909
Phone (303) 500-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207001702 CO Practitioner - Clinical Psychologist 0143566877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolff Child Psychology, PLLC Clinical Child & Adolescent CurrentSince Mar 1, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients

Locations

3345 W 38th Ave
#3431
Denver, CO 80211

777 Bannock St
Denver, CO 80204

3345 W 38th Ave
Denver, CO 80211
Phone (303) 477-3636

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

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.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1417372087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111909",
            "telephone_number": "303-500-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111909",
            "telephone_number": "303-500-3407",
            "fax_number": "303-835-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY-SPECKHALS",
        "first_name": "HILLARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.