Individual provider Active NPI

Melissa Gollick Streno, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1760995351
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0004596 Issued in CO
Practice address
950 S Cherry St Ste 217
Denver, CO 80246-2666
Phone
(303) 523-2401
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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 0004596 CO Primary

Addresses

Primary practice location

950 S Cherry St Ste 217
Denver, CO 80246-2666

Mailing address

1120 Elm St
Denver, CO 80220-4325
Phone (303) 523-2401

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

State licenses

LicenseStateTypeSpecialty
0004596COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edc of Denver, LLC Past Accepting new patients

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1760995351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ELM ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204325",
            "telephone_number": "303-523-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S CHERRY ST STE 217",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462666",
            "telephone_number": "303-523-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRENO",
        "first_name": "MELISSA",
        "middle_name": "GOLLICK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 6, 2017; 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.