Organization Active NPI

Kind Minded Psych, PLLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1770175523
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KIND MINDED PSYCH, PLLC
Practice address
1805 S Bellaire St Ste 585
Denver, CO 80222-4383
Phone
(720) 442-0725
NPI assigned
Feb 3, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Cara VaccarelloNPI 1679981955
Title
Co-Owner
Phone
(720) 442-0725

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
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

1805 S Bellaire St Ste 585
Denver, CO 80222-4383

Mailing address

1805 S Bellaire St Ste 585
Denver, CO 80222-4383
Phone (720) 442-0725

Other practice location 1

250 Fillmore St # 347
Denver, CO 80206-5029
Phone (720) 442-0725

National Provider Directory

National Provider Directory

Locations

1805 S Bellaire St
Ste 585
Denver, CO 80222
Phone (204) 420-7257

250 Fillmore St
#347
Denver, CO 80206
Phone (720) 442-0725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1770175523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 585",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224383",
            "telephone_number": "720-442-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 585",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224383",
            "telephone_number": "720-442-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fillmore St # 347",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065029",
            "country_code": "US",
            "telephone_number": "720-442-0725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIND MINDED PSYCH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "VACCARELLO",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-442-0725"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Apr 15, 2021; 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.