Active NPI
Jenell Effinger, PH.D.
- Clinical Psychologist
- Centennial, CO
National Provider Identifier
1518376102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60448423
- Practice address
- 6075 S Quebec St Ste 200
Centennial, CO 80111-4535 - Phone
- (720) 390-6932
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PY60448423 | WA | Primary |
Addresses
Primary practice location
6075 S Quebec St Ste 200
Centennial, CO 80111-4535
Mailing address
6075 S Quebec St Ste 200
Centennial, CO 80111-4535
Phone (720) 390-6932
Other names 1
- Jenell Oliver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60448423 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tutty, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Centennial, CO
- NPI 1558875591
-
- Community/Behavioral Health Agency
- Silverdale, WA
- NPI 1053757146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1518376102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6075 S QUEBEC ST STE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114535",
"telephone_number": "720-390-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6075 S QUEBEC ST STE 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114535",
"telephone_number": "720-390-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFFINGER",
"first_name": "JENELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60448423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENELL",
"last_name": "OLIVER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.