Individual provider Active NPI

Ginger Arnold, PHD

  • Clinical Neuropsychologist
  • Evergreen, CO
National Provider Identifier
1649414228
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3900 Issued in CO
Practice address
30752 Southview Dr Ste 130
Evergreen, CO 80439-7990
Phone
(720) 737-8428
NPI assigned
Apr 27, 2009
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3900 CO Primary
Psychologist 103T00000X 20042125A IN
Psychologist 103T00000X PSY19200 CA

Addresses

Primary practice location

30752 Southview Dr Ste 130
Evergreen, CO 80439-7990

Mailing address

30752 Southview Dr Ste 130
Evergreen, CO 80439-7990
Phone (720) 737-8428

Other practice location 1

445 Union Blvd Ste 301
Lakewood, CO 80228-1243
Phone (720) 737-8428

Other practice location 2

701 E Hampden Ave Ste 535
Englewood, CO 80113-2787
Phone (303) 989-2086

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000480 CO Practitioner - Clinical Psychologist 2264583632 Reassigns benefits to 1 organization
Practice locations: Evergreen, CO; Lakewood, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30752 Southview Dr
Suite 130
Evergreen, CO 80439-7990
Phone (303) 989-2086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3900COMDProfessional Counselor
PSY19200CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Neuropsychology, PC CurrentSince Jan 8, 2018 Accepting new patients

Locations

701 E Hampden Ave
Ste 535
Englewood, CO 80113
Phone (303) 697-4086

30752 Southview Dr
Ste 130
Evergreen, CO 80439
Phone (303) 697-4086

445 Union Blvd
Ste 301
Lakewood, CO 80228
Phone (303) 881-7630

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1649414228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30752 SOUTHVIEW DR STE 130",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397990",
            "telephone_number": "720-737-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30752 SOUTHVIEW DR STE 130",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397990",
            "telephone_number": "720-737-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Union Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281243",
            "country_code": "US",
            "telephone_number": "720-737-8428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Hampden Ave Ste 535",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132787",
            "country_code": "US",
            "telephone_number": "303-989-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "GINGER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "3900",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042125A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.