NPIMap

Organization Active NPI

Dr, Heather Wedgle, Psy.D., LLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1699084947
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3350 Issued in CO
Legal business name
DR, HEATHER WEDGLE, PSY.D., LLC
Practice address
4500 E 9TH Ave Ste 660
Denver, CO 80220-3926
Phone
(720) 581-4620
NPI assigned
Oct 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Heather WedgleNPI 1154596617
Title
Psychologist
Phone
(720) 581-4620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3350 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave Ste 660
Denver, CO 80220-3926

Mailing address

521 S Magnolia LN
Denver, CO 80224-1524

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": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1699084947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S MAGNOLIA LN",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE STE 660",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203926",
            "telephone_number": "720-581-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR, HEATHER WEDGLE, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "WEDGLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-581-4620"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3350",
            "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 Oct 5, 2010; 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.