Judah Warren Serrano, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0006607 Issued in CO

Practice address

9360 E 60TH Ave
Denver, CO 80238-2347

Phone

(307) 630-9391

NPI assigned

Nov 19, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1598580128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 E 60TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382347",
            "telephone_number": "307-630-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 E 60TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382347",
            "telephone_number": "307-630-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JUDAH",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "0006607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rae Serpa, NONE
• Mark R Serpico, MD
• Jill N Serrahn, MD
• Stephane Paul Serrano-Cocuelle, LPC
• Ashley Serrano
• Luz Marcela Serrano
• Tanisha Camill Serrano
• Gina Marie Serrao, MSW
• Daniel Serrato
• Irene N Serunkuma, LPN

• Clinical Child & Adolescent Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Child & Adolescent Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.