Individual provider Active NPI

Abigail Hirsch, PH.D.

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1760760607
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0003863 Issued in CO
Practice address
3513 Brighton Blvd Ste 427
Denver, CO 80216-3805
Phone
(970) 610-0646
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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 PSY.0003863 CO Primary

Addresses

Primary practice location

3513 Brighton Blvd Ste 427
Denver, CO 80216-3805

Mailing address

170 S Dexter St
Denver, CO 80246-1053
Phone (303) 332-3442

Other identifiers 1

IdentifierTypeStateIssuer
PSY.0003863OtherCOSTATE LICENSCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abigail@lin.health

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0003863COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lin Health Medical Group PA Current Accepting new patients

Locations

3513 Brighton Blvd
Ste 457
Denver, CO 80216
Phone (720) 740-2520

3513 Brighton Blvd
Ste 427
Denver, CO 80216
Phone (970) 610-0646

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

400 E Royal Ln
Ste 290
Irving, TX 75039
Phone (469) 249-8410

Organizations & group practices 1

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1760760607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S DEXTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461053",
            "telephone_number": "303-332-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 BRIGHTON BLVD STE 427",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163805",
            "telephone_number": "970-610-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSCE",
            "identifier": "PSY.0003863",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abigail@lin.health",
            "affiliation": "N",
            "address_1": "3513 Brighton Blvd Ste 427",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802163805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 2, 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.

Verify at the official NPI Registry.