Active NPI
Jane Miceli, MD Prof. LLC
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1730387994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30540
- Legal business name
- JANE MICELI, MD PROF. LLC
- Practice address
- 3540 S Poplar St
Suite 305
Denver, CO 80237-1360 - Phone
- (303) 691-6842
- Fax
- (303) 322-4540
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jane F. Miceli, M.D
- Title
- Owner/ Sole Proprieter
- Phone
- (303) 691-6842
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30540 | CO | Primary |
Addresses
Primary practice location
3540 S Poplar St
Suite 305
Denver, CO 80237-1360
Mailing address
3540 S Poplar St
Suite 305
Denver, CO 80237-1360
Phone (303) 691-6842
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104907708 | Other | INDIVIDUAL NPI | |
| 451368 | Other | MEDICARE GROUP IDENTIFIER |
National Provider Directory
National Provider DirectoryLocations
3540 S Poplar St
Ste 305
Denver, CO 80237
Phone (303) 584-0554
3540 S Poplar St
#305
Denver, CO 80237
Phone (303) 224-9377
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Denver, CO
- NPI 1104907708
-
- Radiology Chiropractor
- Montebello, CA
- NPI 1376606335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1730387994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 S POPLAR ST",
"address_2": "SUITE 305",
"city": "DENVER",
"state": "CO",
"postal_code": "802371360",
"telephone_number": "303-691-6842",
"fax_number": "303-322-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 S POPLAR ST",
"address_2": "SUITE 305",
"city": "DENVER",
"state": "CO",
"postal_code": "802371360",
"telephone_number": "303-691-6842",
"fax_number": "303-322-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE MICELI, MD PROF. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "MICELI",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER/ SOLE PROPRIETER",
"authorized_official_telephone_number": "303-691-6842",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "30540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1104907708",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP IDENTIFIER",
"identifier": "451368",
"state": null
}
],
"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 Jul 10, 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.