Active NPI
Richard Mangen, PSY.D.
- Clinical Psychologist
- Centennial, CO
National Provider Identifier
1710207337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1126
- Practice address
- 6444 S Quebec St
Suite 202
Centennial, CO 80111-7601 - Phone
- (303) 875-3297
- Fax
- (303) 721-8770
- NPI assigned
- Jun 5, 2010
- 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 | 1126 | CO | Primary |
Addresses
Primary practice location
6444 S Quebec St
Suite 202
Centennial, CO 80111-7601
Mailing address
6444 S Quebec St
Suite 202
Centennial, CO 80111-7601
Phone (303) 875-3297
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 |
|---|---|---|---|
| 1126 | CO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275696000000",
"number": "1710207337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6444 S QUEBEC ST",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801117601",
"telephone_number": "303-875-3297",
"fax_number": "303-721-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6444 S QUEBEC ST",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801117601",
"telephone_number": "303-875-3297",
"fax_number": "303-721-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGEN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-05",
"last_updated": "2010-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.