NPIMap

Organization Active NPI

Keri Anne Israelski PSYD LLC

  • Clinical Psychologist
  • Greenwood Village, CO
National Provider Identifier
1649555855
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3575 Issued in CO
Legal business name
KERI ANNE ISRAELSKI PSYD LLC
Practice address
7935 E Prentice Ave
Suite 104
Greenwood Village, CO 80111-2708
Phone
(773) 308-4410
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Keri Anne Israelski
Title
PSYD
Phone
(773) 308-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3575 CO Primary

Addresses

Primary practice location

7935 E Prentice Ave
Suite 104
Greenwood Village, CO 80111-2708

Mailing address

5310 Ward Rd
Suite 106
Arvada, CO 80002-1832
Phone (303) 278-7418

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1649555855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 WARD RD",
            "address_2": "SUITE 106",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021832",
            "telephone_number": "303-278-7418",
            "fax_number": "888-341-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 E PRENTICE AVE",
            "address_2": "SUITE 104",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112708",
            "telephone_number": "773-308-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI ANNE ISRAELSKI PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ISRAELSKI",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYD",
        "authorized_official_telephone_number": "773-308-4410"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.