Organization Active NPI

Joseph Mendozza, MD PC

  • Psychoanalysis Psychologist
  • Denver, CO
National Provider Identifier
1548696214
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
19022 Issued in CO
Legal business name
JOSEPH MENDOZZA, MD PC
Practice address
4770 E Iliff Ave
Suite 232
Denver, CO 80222-6061
Phone
(303) 758-2500
Fax
(303) 757-7994
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Joseph B Mendozza, M.D.
Title
President
Phone
(303) 758-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0814X 19022 CO Primary

Addresses

Primary practice location

4770 E Iliff Ave
Suite 232
Denver, CO 80222-6061

Mailing address

4770 E Iliff Ave
Suite 232
Denver, CO 80222-6061
Phone (303) 758-2500

National Provider Directory

National Provider Directory

Locations

4770 E Iliff Ave
Ste 232
Denver, CO 80222
Phone (303) 758-2500

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1548696214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "SUITE 232",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-758-2500",
            "fax_number": "303-757-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE",
            "address_2": "SUITE 232",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226061",
            "telephone_number": "303-758-2500",
            "fax_number": "303-757-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MENDOZZA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZZA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-758-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CO",
            "license": "19022",
            "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 Sep 25, 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.

Verify at the official NPI Registry.