Active NPI
Edward S. Marshall, Psy.D., LLC
- Clinical Psychologist
- Thornton, CO
National Provider Identifier
1447694146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- EDWARD S. MARSHALL, PSY.D., LLC
- Practice address
- 8515 Pearl St Ste 204
Thornton, CO 80229-4809 - Phone
- (303) 587-8767
- Fax
- (720) 523-0288
- NPI assigned
- Apr 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward S. Marshall, PSY.D.
- Title
- Psychologist
- Phone
- (303) 587-8767
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Forensic Psychologist | 103TF0200X | |||
| Health Psychologist | 103TH0004X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Rehabilitation Psychologist | 103TR0400X |
Addresses
Primary practice location
8515 Pearl St Ste 204
Thornton, CO 80229-4809
Mailing address
8515 Pearl St Ste 204
Thornton, CO 80229-4809
Phone (303) 587-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982822581 | Other | CO | NPI (INDIVIDUAL) |
National Provider Directory
National Provider DirectoryLocations
8515 Pearl St
Ste 204
Thornton, CO 80229
Phone (303) 288-8886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1447694146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 PEARL ST STE 204",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294809",
"telephone_number": "303-587-8767",
"fax_number": "720-523-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 PEARL ST STE 204",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294809",
"telephone_number": "303-587-8767",
"fax_number": "720-523-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD S. MARSHALL, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "303-587-8767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI (INDIVIDUAL)",
"identifier": "1982822581",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.