Active NPI
Shelley E. Bresnick, PSY.D.
- Clinical Psychologist
- Lakewood, CO
National Provider Identifier
1619008893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2115
- Practice address
- 1746 Cole Blvd
BLDG. 21, Suite 295
Lakewood, CO 80401-3208 - Phone
- (303) 988-8177
- Fax
- (303) 988-8178
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2115 | CO | Primary |
Addresses
Primary practice location
1746 Cole Blvd
BLDG. 21, Suite 295
Lakewood, CO 80401-3208
Mailing address
1746 Cole Blvd
BLDG. 21, Suite 295
Lakewood, CO 80401-3208
Phone (303) 988-8177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2115 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1619008893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 COLE BLVD",
"address_2": "BLDG. 21, SUITE 295",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013208",
"telephone_number": "303-988-8177",
"fax_number": "303-988-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 COLE BLVD",
"address_2": "BLDG. 21, SUITE 295",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013208",
"telephone_number": "303-988-8177",
"fax_number": "303-988-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESNICK",
"first_name": "SHELLEY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.