Active NPI
Julia Carbonella, PHD
- Psychologist
- Denver, CO
National Provider Identifier
1780167031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5261
- Practice address
- 1720 S Bellaire St Ste 907
Denver, CO 80222-4333 - Phone
- (720) 251-2770
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5261 | CO | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
1720 S Bellaire St Ste 907
Denver, CO 80222-4333
Mailing address
4860 Robb St Ste 201
Wheat Ridge, CO 80033-2162
Phone (888) 948-6789
Other practice location 1
3835 Harlan St
Wheat Ridge, CO 80033-5111
Phone (888) 948-6789
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5261 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1780167031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 ROBB ST STE 201",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332162",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S BELLAIRE ST STE 907",
"city": "DENVER",
"state": "CO",
"postal_code": "802224333",
"telephone_number": "720-251-2770"
}
],
"practiceLocations": [
{
"address_1": "3835 Harlan St",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800335111",
"country_code": "US",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBONELLA",
"first_name": "JULIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "5261",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"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 16, 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.