Individual provider Active NPI

Jessica Nichole Hardy Swann, PSY.D

  • Clinical Psychologist
  • Glenwood Springs, CO
National Provider Identifier
1609225440
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005084 Issued in CO
Practice address
1001 Grand Ave
Suite 005
Glenwood Springs, CO 81601-3642
Phone
(404) 819-8900
NPI assigned
Jun 10, 2016
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0005084 CO Primary

Addresses

Primary practice location

1001 Grand Ave
Suite 005
Glenwood Springs, CO 81601-3642

Mailing address

1001 Grand Ave
Suite 005
Glenwood Springs, CO 81601-3642
Phone (404) 819-8900

Other practice location 1

5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405
Phone (719) 357-6471

Other practice location 2

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone (719) 357-6471

Other practice location 3

817 Colorado Ave Ste 104A
Glenwood Springs, CO 81601-3352
Phone (404) 819-8900

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
I20191217003138 CO Practitioner - Clinical Psychologist 8123452521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0005084COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swann Clinic for Behavioral Health Clinical CurrentSince Mar 1, 2020 Accepting new patients
Pediatric Psychology Services of Colorado Clinical CurrentSince Mar 1, 2020 Accepting new patients
Pediatric Psychology Services of Colorado Clinical CurrentSince Mar 1, 2020 Accepting new patients
Pediatric Psychology Services of Colorado Clinical Past Accepting new patients
Pediatric Psychology Services of Colorado Clinical Past Accepting new patients
Practice 32 LLC PastSince Apr 6, 2023 Accepting new patients
Pediatric Psychology Services of Colorado Clinical Past Accepting new patients
Pediatric Psychology Services of Colorado Clinical Past Accepting new patients

Locations

817 Colorado Ave
Unit 104
Glenwood Springs, CO 81601
Phone (970) 924-0484

1001 Grand Ave
Unit 5
Glenwood Springs, CO 81601
Phone (970) 924-0484

817 Colorado Ave
Ste 104A
Glenwood Springs, CO 81601
Phone (404) 819-8900

33 N Cascade Ave
Montrose, CO 81401

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1609225440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GRAND AVE",
            "address_2": "SUITE 005",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013642",
            "telephone_number": "404-819-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GRAND AVE",
            "address_2": "SUITE 005",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013642",
            "telephone_number": "404-819-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5245 Centennial Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809194405",
            "country_code": "US",
            "telephone_number": "719-357-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Elkton Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809073597",
            "country_code": "US",
            "telephone_number": "719-357-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Colorado Ave Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816013352",
            "country_code": "US",
            "telephone_number": "404-819-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY SWANN",
        "first_name": "JESSICA NICHOLE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.