Active NPI
Mahtab Wilsey
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1457588170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2719
- Practice address
- 425 S Cherry St Ste 810
Denver, CO 80246-1235 - Phone
- (303) 215-4515
- Fax
- (303) 399-6069
- NPI assigned
- Jun 20, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2719 | CO | Primary |
Addresses
Primary practice location
425 S Cherry St Ste 810
Denver, CO 80246-1235
Mailing address
425 S Cherry St Ste 810
Denver, CO 80246-1235
Phone (303) 215-4515
Other names 1
- Dr. Matty Wilsey
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2719 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doris C Gundersen M D P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Denver, CO
- NPI 1972800787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245456000000",
"number": "1457588170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S CHERRY ST STE 810",
"city": "DENVER",
"state": "CO",
"postal_code": "802461235",
"telephone_number": "303-215-4515",
"fax_number": "303-399-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S CHERRY ST STE 810",
"city": "DENVER",
"state": "CO",
"postal_code": "802461235",
"telephone_number": "303-215-4515",
"fax_number": "303-399-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSEY",
"first_name": "MAHTAB",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-20",
"last_updated": "2009-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTY",
"last_name": "WILSEY",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional 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 Jun 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.