Krista J Divittore, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0006288 Issued in CO

Practice address

20971 E Smoky Hill Rd Ste 204
Aurora, CO 80015-5187

Phone

(720) 347-8559

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Krista Lee Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Valued Living, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
  • NPI 1497019236

  Clinical

  Medicare reassignment NPD
• Center for Valued Living PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, CO
  • NPI 1356003586

  Clinical

  NPD
• Center for Valued Living, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1588268908
  NPD

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1760905764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "720-347-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITTORE",
        "first_name": "KRISTA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60980309",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "MSPSY.0000004",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1742",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Divine Son LLC
• Divine Star HHC LLC
• Divine Star HHC LLC
• Divine Star HHC LLC
• Matison Divita, OT
• Mithun Diwakar, M.D., PH.D.
• Corinne R Dix, MD
• Ashley E Dixon-Anderson, MD
• Angelina Magreni Dixon, MD
• Bradley P. Dixon, MD

• Clinical Psychologist in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.