Active NPI
Walter Daniel Munn
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1679593156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 179
- Practice address
- 2185 Broadway
Denver, CO 80205-2534 - Phone
- (303) 296-2244
- Fax
- (303) 296-1709
- NPI assigned
- Jul 20, 2006
- 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 | 179 | WY | Primary |
Addresses
Primary practice location
2185 Broadway
Denver, CO 80205-2534
Mailing address
2185 Broadway
Denver, CO 80205-2534
Phone (303) 296-2244
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679593156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052534",
"telephone_number": "303-296-2244",
"fax_number": "303-296-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052534",
"telephone_number": "303-296-2244",
"fax_number": "303-296-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNN",
"first_name": "WALTER",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.