Individual provider Active NPI

Sharon Diane Hilderbrant, PSYD

  • Clinical Psychologist
  • Lakewood, CO
National Provider Identifier
1750491544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2389 Issued in CO
Practice address
7220 W Jefferson Ave
Suite 307
Lakewood, CO 80235
Phone
(303) 984-1095
Fax
(303) 795-6076
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2389 CO Primary

Addresses

Primary practice location

7220 W Jefferson Ave
Suite 307
Lakewood, CO 80235

Mailing address

7220 W Jefferson Ave
Suite 307
Lakewood, CO 80235
Phone (303) 984-1095

Other identifiers 3

IdentifierTypeStateIssuer
8992664OtherCIGNA
AMISR9906OtherCOANTHEM BCBS
91531055MedicaidCO

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

State licenses

LicenseStateTypeSpecialty
2389COMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750491544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE",
            "address_2": "SUITE 307",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80235",
            "telephone_number": "303-984-1095",
            "fax_number": "303-795-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE",
            "address_2": "SUITE 307",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80235",
            "telephone_number": "303-984-1095",
            "fax_number": "303-795-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDERBRANT",
        "first_name": "SHARON",
        "middle_name": "DIANE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8992664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "AMISR9906",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91531055",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.