Active NPI
Mary Margaret Jonsson, PHD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1720184823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYCHOLOGY1294
- Practice address
- 2855 N Speer Blvd Ste D
Denver, CO 80211-4240 - Phone
- (303) 830-1213
- Fax
- (303) 477-5802
- NPI assigned
- Sep 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYCHOLOGY1294 | CO | Primary |
Addresses
Primary practice location
2855 N Speer Blvd Ste D
Denver, CO 80211-4240
Mailing address
2855 N Speer Blvd Ste D
Denver, CO 80211-4240
Phone (303) 830-1213
Other names 1
- Dr. Mary Margaret Johnson
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 |
|---|---|---|---|
| PSYCHOLOGY1294 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1720184823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 N SPEER BLVD STE D",
"city": "DENVER",
"state": "CO",
"postal_code": "802114240",
"telephone_number": "303-830-1213",
"fax_number": "303-477-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 N SPEER BLVD STE D",
"city": "DENVER",
"state": "CO",
"postal_code": "802114240",
"telephone_number": "303-830-1213",
"fax_number": "303-477-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONSSON",
"first_name": "MARY",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSYCHOLOGY1294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "JOHNSON",
"middle_name": "MARGARET",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.