Active NPI
Kamila Maria Cass, PH.D.
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1710210331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3645
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 602-0340
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY0003645 | CO | |
| Clinical Psychologist | 103TC0700X | 1207 | NM | |
| Clinical Psychologist | 103TC0700X | 3645 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
4416 Maroon Cir
Broomfield, CO 80023-4093
Phone (720) 260-8464
Other practice location 1
1 San Rafael Ave NE
Albuquerque, NM 87122-1116
Phone (720) 984-3438
Other practice location 2
4522 Longs Ct
Broomfield, CO 80023
Phone (720) 551-1334
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcass159313@direct.dhha.org | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY0003645 | CO | MD | Clinical Psychologist |
| 1207 | NM | MD | Clinical Psychologist |
| 3645 | CO | MD | Chiropractor |
Interoperability endpoints
- kcass159313@direct.dhha.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1710210331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 MAROON CIR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234093",
"telephone_number": "720-260-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-602-0340"
}
],
"practiceLocations": [
{
"address_1": "1 San Rafael Ave NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871221116",
"country_code": "US",
"telephone_number": "720-984-3438",
"fax_number": "505-823-1161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4522 Longs Ct",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "80023",
"country_code": "US",
"telephone_number": "720-551-1334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASS",
"first_name": "KAMILA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY0003645",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1207",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcass159313@direct.dhha.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "777 Bannock St",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802044507",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.