NPIMap

Organization Active NPI

Gena Hicks, PHD, LLC

  • Psychologist
  • Lafayette, CO
National Provider Identifier
1760834717
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0003773 Issued in CO
Legal business name
GENA HICKS, PHD, LLC
Practice address
1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307
Phone
(720) 414-1315
Fax
(720) 899-3160
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Dr. Gena Hicks, PHDNPI 1801067558
Title
Psychologist
Phone
(720) 414-1315

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0003773 CO Primary

Addresses

Primary practice location

1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307

Mailing address

1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307
Phone (720) 414-1315

National Provider Directory

National Provider Directory

Locations

1319 W Baseline Rd
Ste 101B
Lafayette, CO 80026
Phone (720) 414-1315

Practitioners & affiliated clinicians

Practitioners 1

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": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1760834717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "STE 101-B",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "720-414-1315",
            "fax_number": "720-899-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "STE 101-B",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "720-414-1315",
            "fax_number": "720-899-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENA HICKS, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-414-1315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.