Dr. Desi, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4105 Issued in CO

Legal business name

DR. DESI, LLC

Practice address

3001 Fox St
Apt 428
Denver, CO 80202-7118

Phone

(405) 714-2999

NPI assigned

Jan 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Desmond Harless, PHD

Title

Psychologist

Phone

(405) 714-2999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1770972085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 FOX ST",
            "address_2": "APT 428",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802027118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 FOX ST",
            "address_2": "APT 428",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802027118",
            "telephone_number": "405-714-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DESI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-10",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-714-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86004549",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.