Individual provider Active NPI

Melissa Kwitowski, PHD

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1750990669
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005341 Issued in CO
Practice address
13001 E 17TH PL FL 2
Aurora, CO 80045-2570
Phone
(440) 667-7211
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY.0005341 CO Primary

Addresses

Primary practice location

13001 E 17TH PL FL 2
Aurora, CO 80045-2570

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130001566 CO Practitioner - Clinical Psychologist 3577974344 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Dec 1, 2020 Accepting new patients
University of Colorado Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
University Physicians Incorporated Current Accepting new patients
University Physicians Incorporated CurrentSince Dec 1, 2020 Accepting new patients
University of Colorado Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients

Locations

1890 N Revere Ct
#5003
Aurora, CO 80045

13001 E 17th Pl
Fl 2
Aurora, CO 80045
Phone (303) 724-1000

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13001 E 17th Pl
Aurora, CO 80045
Phone (303) 724-1792

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1890 N Revere Ct
Ste 4020
Aurora, CO 80045
Phone (303) 724-1000

1890 N Revere Ct
Ste 5003
Aurora, CO 80045
Phone (218) 275-0150

1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

Dept 1061
Denver, CO 80256

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1750990669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL FL 2",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "440-667-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWITOWSKI",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.