Organization Active NPI

Jane Miceli, MD Prof. LLC

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1730387994
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30540 Issued in CO
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

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Jane F. Miceli, M.DNPI 1104907708
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1104907708OtherINDIVIDUAL NPI
451368OtherMEDICARE GROUP IDENTIFIER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.