Active NPI
Mary Ann Watson, PHD
- Psychologist
- Denver, CO
National Provider Identifier
1639236201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 420
- Practice address
- 1490 Lafayette Street
Suite 105a
Denver, CO 80218-2391 - Phone
- (303) 322-9334
- Fax
- (303) 832-0044
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 420 | CO | Primary |
Addresses
Primary practice location
1490 Lafayette Street
Suite 105a
Denver, CO 80218-2391
Mailing address
1490 Lafayette Street
Suite 105a
Denver, CO 80218-2391
Phone (303) 322-9334
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051031000730 | CO | Practitioner - Clinical Psychologist | 3870510613 | Practice locations: Denver, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1490 Lafayette St
105A
Denver, CO 80220
6840 Richthofen Pkwy
Denver, CO 80220-4848
Phone (720) 212-6413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1639236201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 LAFAYETTE STREET",
"address_2": "SUITE 105A",
"city": "DENVER",
"state": "CO",
"postal_code": "802182391",
"telephone_number": "303-322-9334",
"fax_number": "303-832-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 LAFAYETTE STREET",
"address_2": "SUITE 105A",
"city": "DENVER",
"state": "CO",
"postal_code": "802182391",
"telephone_number": "303-322-9334",
"fax_number": "303-832-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.