Active NPI
Chad Duane Emrick, PH.D.
- Psychologist
- Denver, CO
National Provider Identifier
1417984253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 414
- Practice address
- 950 S Cherry St Ste 424
Denver, CO 80246-2612 - Phone
- (303) 507-5035
- Fax
- (303) 393-4603
- NPI assigned
- Jun 27, 2006
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 414 | CO | Primary |
Addresses
Primary practice location
950 S Cherry St Ste 424
Denver, CO 80246-2612
Mailing address
PO Box 472635
Aurora, CO 80047-2635
Phone (303) 290-0575
Other practice location 1
390 S Potomac Way
Aurora, CO 80012-2491
Phone (393) 290-0575
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150917002602 | CO | Practitioner - Clinical Psychologist | 3779890009 | Practice locations: Denver, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
950 S Cherry St
Suite 410
Denver, CO 80246-2664
Phone (303) 507-5035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 414 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1417984253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 472635",
"city": "AURORA",
"state": "CO",
"postal_code": "800472635",
"telephone_number": "303-290-0575",
"fax_number": "303-393-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 424",
"city": "DENVER",
"state": "CO",
"postal_code": "802462612",
"telephone_number": "303-507-5035",
"fax_number": "303-393-4603"
}
],
"practiceLocations": [
{
"address_1": "390 S Potomac Way",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800122491",
"country_code": "US",
"telephone_number": "393-290-0575",
"fax_number": "303-393-5272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMRICK",
"first_name": "CHAD",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "414",
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.