NPIMap

Organization Active NPI

Maximillian Wachtel, PH.D., LLC

Doing business as Cherry Creek Psychology

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1639324270
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2832 Issued in CO
Legal business name
MAXIMILLIAN WACHTEL, PH.D., LLC
Doing business as
Cherry Creek Psychology
Practice address
3865 Cherry Creek North Dr
Suite 220
Denver, CO 80209-3803
Phone
(303) 399-5300
Fax
(303) 399-5304
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Maximillian Wachtel, PH.DNPI 1821149170
Title
Owner/Member
Phone
(303) 399-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2832 CO Primary

Addresses

Primary practice location

3865 Cherry Creek North Dr
Suite 220
Denver, CO 80209-3803

Mailing address

3865 Cherry Creek North Dr
Suite 220
Denver, CO 80209-3803
Phone (303) 399-5300

Other names 1

  • Cherry Creek Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

3865 Chry Creek N Dr
Ste 220
Denver, CO 80209
Phone (303) 399-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1639324270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-399-5300",
            "fax_number": "303-399-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-399-5300",
            "fax_number": "303-399-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMILLIAN WACHTEL, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "MAXIMILLIAN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "303-399-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Creek Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 24, 2008; 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.