Active NPI
Douglas E Funt, PHD
- Clinical Psychologist
- Centennial, CO
National Provider Identifier
1649265521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 699
- Practice address
- 7700 E Arapahoe Rd
Ste 260
Centennial, CO 80112-1266 - Phone
- (303) 337-0710
- Fax
- (303) 796-7115
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- 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 | 699 | CO | Primary |
Addresses
Primary practice location
7700 E Arapahoe Rd
Ste 260
Centennial, CO 80112-1266
Mailing address
7700 E Arapahoe Rd
Ste 260
Centennial, CO 80112-1266
Phone (303) 337-0710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07107873 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interactions Counseling P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1649265521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 E ARAPAHOE RD",
"address_2": "STE 260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121266",
"telephone_number": "303-337-0710",
"fax_number": "303-796-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 E ARAPAHOE RD",
"address_2": "STE 260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121266",
"telephone_number": "303-337-0710",
"fax_number": "303-796-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNT",
"first_name": "DOUGLAS",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07107873",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.