NPIMap

Individual provider Active NPI

Angelo Nicholas Alago, PSYD

  • Clinical Psychologist
  • Broomfield, CO
National Provider Identifier
1619451341
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005147 Issued in CO
Practice address
1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone
(303) 465-2323
NPI assigned
Sep 19, 2018
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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.0005147 CO Primary

Addresses

Primary practice location

1022 Depot Hill Rd
Broomfield, CO 80020-1068

Mailing address

1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone (303) 465-2323

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118002993 CO Practitioner - Clinical Psychologist 6204268964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Oct 15, 2019 Accepting new patients
University Physicians Incorporated CurrentSince Oct 15, 2019 Accepting new patients
University Physicians, Incorporated PastSince Oct 15, 2023 Accepting new patients
University Physicians Incorporated PastSince Dec 24, 2023 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1300 S Potomac St
Ste 122
Aurora, CO 80012
Phone (303) 369-1600

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

5495 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-4515

1022 Depot Hill Rd
Broomfield, CO 80020
Phone (303) 465-2323

7960 S University Blvd
Ste 101
Centennial, CO 80122
Phone (303) 791-0301

3055 Roslyn St
Unit 100
Denver, CO 80238
Phone (720) 553-2695

Dept 1061
Denver, CO 80256

8080 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 346-8828

9540 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 516-9014

361 Centennial Pkwy
Ste 120
Louisville, CO 80027
Phone (303) 465-2323

7403 Church Ranch Blvd
Unit 107
Westminster, CO 80021
Phone (720) 848-9000

Organizations & group practices 4

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1619451341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DEPOT HILL RD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201068",
            "telephone_number": "303-465-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 DEPOT HILL RD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201068",
            "telephone_number": "303-465-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAGO",
        "first_name": "ANGELO",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.