Individual provider Active NPI

Janice Marcia Simpson, JANICE SIMPSON

  • Child & Adolescent Psychiatry Physician
  • Aurora, CO
National Provider Identifier
1700964954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
28365 Issued in CO
Practice address
10782 E Alameda Ave
11059 E. Bethany Dr.
Aurora, CO 80012-1017
Phone
(303) 617-2627
Fax
(303) 617-2672
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 28365 CO Primary

Addresses

Primary practice location

10782 E Alameda Ave
11059 E. Bethany Dr.
Aurora, CO 80012-1017

Mailing address

9350 Poundstone PL
Greenwood Village, CO 80111-3410
Phone (303) 771-5398

Other identifiers 1

IdentifierTypeStateIssuer
E74379MedicaidCO

Other names 1

  • Janice Freed Former name

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

LicenseStateTypeSpecialty
28365COMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700964954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 POUNDSTONE PL",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113410",
            "telephone_number": "303-771-5398",
            "fax_number": "303-771-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10782 E ALAMEDA AVE",
            "address_2": "11059 E. BETHANY DR.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121017",
            "telephone_number": "303-617-2627",
            "fax_number": "303-617-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JANICE",
        "middle_name": "MARCIA",
        "credential": "JANICE SIMPSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "28365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E74379",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "FREED",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, 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.

Verify at the official NPI Registry.