Organization Active NPI

Boscoe-Huffman Wellness Center, PLLC

  • Clinical Child & Adolescent Psychologist
  • Denver, CO
National Provider Identifier
1790041358
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
BOSCOE-HUFFMAN WELLNESS CENTER, PLLC
Practice address
673 Grant St
Denver, CO 80203-3506
Phone
(303) 839-1498
Fax
(303) 861-4844
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Jeffrey Burton Boscoe-Huffman, PSY.D.
Title
Clinical Psychologist
Phone
(303) 839-1498

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6081 CO
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X CO Primary

Addresses

Primary practice location

673 Grant St
Denver, CO 80203-3506

Mailing address

673 Grant St
Denver, CO 80203-3506
Phone (303) 839-1498

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1790041358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033506",
            "telephone_number": "303-839-1498",
            "fax_number": "303-861-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033506",
            "telephone_number": "303-839-1498",
            "fax_number": "303-861-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSCOE-HUFFMAN WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "BOSCOE-HUFFMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-839-1498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6081",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "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 9, 2012; 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.