Individual provider Active NPI

Gary Lee Coats, PH.D.

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1558568436
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1657 Issued in CO
Practice address
8340 Sangre de Cristo Rd
Ste 207
Littleton, CO 80127-4248
Phone
(303) 756-5400
Fax
(303) 972-6463
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1657 CO Primary
Clinical Psychologist 103TC0700X 454 SD

Addresses

Primary practice location

8340 Sangre de Cristo Rd
Ste 207
Littleton, CO 80127-4248

Mailing address

9543 W Caley Ave
Littleton, CO 80123-3103
Phone (303) 756-5400

Other identifiers 1

IdentifierTypeStateIssuer
04014809MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130222000335 CO Practitioner - Clinical Psychologist 1759536733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gary L Coats PHD PAGroup PAC ID 7315835402, 2 clinicians

Practice addresses (Care Compare)

6901 S Pierce St
Suite 239
Littleton, CO 80128-7206
Phone (303) 756-5400

9543 W Caley Ave
Littleton, CO 80123-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
454SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary L Coats PHD PA Clinical CurrentSince Jan 1, 1995 Accepting new patients

Locations

6901 S Pierce St
Ste 239
Littleton, CO 80128
Phone (303) 756-5400

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558568436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9543 W CALEY AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233103",
            "telephone_number": "303-756-5400",
            "fax_number": "303-972-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "address_2": "STE 207",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274248",
            "telephone_number": "303-756-5400",
            "fax_number": "303-972-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "GARY",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1657",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.