Cara Vaccarello, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008799 Issued in IL

Practice address

1805 S Bellaire St Ste 585
Denver, CO 80222-4383

Phone

(204) 420-7257

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kind Minded Psych, PLLC

  • Clinical Psychologist
  • Denver, CO
  • NPI 1770175523
  NPD Authorized official
• Colorado Springs Psychological Services

  • Clinical Psychologist
  • Denver, CO
  • NPI 1699373621
  NPD

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1679981955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 585",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224383",
            "telephone_number": "204-420-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 585",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224383",
            "telephone_number": "204-420-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 W Roosevelt Rd",
            "address_2": "Room 114",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081316",
            "country_code": "US",
            "telephone_number": "312-996-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACCARELLO",
        "first_name": "CARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Medical Center
• VA Medical Center
• Mykenzie Elizabeth Vaassen, DPT
• Ashley Vacante, ED.S., NCSP
• Chad A Vaccarelli, D.O.
• Doron Vaday, RDN
• Jasmine Vaghedi
• Nima Vaghedi
• Jenny Marie Vail-Stencel, MA, CCC-SLP
• Vicky Lynn Vail

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.