Active NPI
Shea McTaggart, PSY.D.
- Rehabilitation Psychologist
- Denver, CO
National Provider Identifier
1477980936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 0004271
- Practice address
- 50 S Steele St
Suite 250
Denver, CO 80209-2805 - Phone
- (720) 449-2499
- Fax
- (720) 634-0719
- NPI assigned
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0004271 | CO | |
| Rehabilitation Psychologist | 103TR0400X | 0004271 | CO | Primary |
Addresses
Primary practice location
50 S Steele St
Suite 250
Denver, CO 80209-2805
Mailing address
50 S Steele St
Suite 250
Denver, CO 80209-2805
Phone (720) 449-2499
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004271 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1477980936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S STEELE ST",
"address_2": "SUITE 250",
"city": "DENVER",
"state": "CO",
"postal_code": "802092805",
"telephone_number": "720-449-2499",
"fax_number": "720-634-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S STEELE ST",
"address_2": "SUITE 250",
"city": "DENVER",
"state": "CO",
"postal_code": "802092805",
"telephone_number": "720-449-2499",
"fax_number": "720-634-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCTAGGART",
"first_name": "SHEA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-30",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "0004271",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "CO",
"license": "0004271",
"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 Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.