Individual provider Active NPI

Carole Sue Kornreich, MD

  • Psychiatry Physician
  • Lakewood, CO
National Provider Identifier
1477568962
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19849 Issued in CO
Practice address
950 Wadsworth Blvd
#206
Lakewood, CO 80214-4542
Phone
(303) 237-1829
Fax
(303) 237-1023
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19849 CO Primary

Addresses

Primary practice location

950 Wadsworth Blvd
#206
Lakewood, CO 80214-4542

Mailing address

950 Wadsworth Blvd
#206
Lakewood, CO 80214-4542
Phone (303) 237-1829

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1477568962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "#206",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-237-1829",
            "fax_number": "303-237-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD",
            "address_2": "#206",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "303-237-1829",
            "fax_number": "303-237-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNREICH",
        "first_name": "CAROLE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "19849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.