Active NPI
John Mark Disorbio, ED.D
- Rehabilitation Psychologist
- Lakewood, CO
National Provider Identifier
1659544401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 1098
- Practice address
- 225 Union Blvd
Suite 150
Lakewood, CO 80228-1858 - Phone
- (303) 674-7171
- Fax
- (303) 674-1223
- NPI assigned
- Apr 11, 2008
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 1098 | CO | Primary |
Addresses
Primary practice location
225 Union Blvd
Suite 150
Lakewood, CO 80228-1858
Mailing address
PO Box 2950
Evergreen, CO 80437-2950
Phone (303) 674-7171
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1659544401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2950",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804372950",
"telephone_number": "303-674-7171",
"fax_number": "303-674-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 UNION BLVD",
"address_2": "SUITE 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281858",
"telephone_number": "303-674-7171",
"fax_number": "303-674-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISORBIO",
"first_name": "JOHN",
"middle_name": "MARK",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "CO",
"license": "1098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.