Robert E Pelc PHD Abpp Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

531 Issued in CO

Legal business name

ROBERT E PELC PHD ABPP PROFESSIONAL CORPORATION

Practice address

4251 S Natches CT Ste a
Englewood, CO 80110-8603

Phone

(303) 388-6761

Fax

(303) 388-0132

NPI assigned

Aug 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert E Pelc, PHDNPI 1528041522

Title

Owner

Phone

(303) 388-6761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Pelc, PH.D.

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1528041522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1447530001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 S NATCHES CT STE A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801108603",
            "telephone_number": "303-388-6761",
            "fax_number": "303-388-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 S NATCHES CT STE A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801108603",
            "telephone_number": "303-388-6761",
            "fax_number": "303-388-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E PELC PHD ABPP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "PELC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-388-6761",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Danielle Ritz, NP
• RK-S,LCSW, LLC
• Mandi Dawn Roan, RDH, OMT
• Sara Robbins, SWC
• Robert a Brockmann MDPC
• Caitlin Roberts
• Codie Marie Roberts, DPT
• Gregory James Roberts, CNM
• Laura Michele Roberts, MS, PA-C
• Mia Wallin Roberts, CPNP

• Clinical Psychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.