Individual provider Active NPI

Dana Steidtmann, PHD

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1790114411
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0004095 Issued in CO
Practice address
13199 E Montview Blvd
Suite 330, Ms F550
Aurora, CO 80045-7202
Phone
(303) 724-3300
Fax
(303) 724-4968
NPI assigned
Nov 4, 2013
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 24591 CA
Clinical Psychologist 103TC0700X 0004095 CO Primary

Addresses

Primary practice location

13199 E Montview Blvd
Suite 330, Ms F550
Aurora, CO 80045-7202

Mailing address

13199 E Montview Blvd
Suite 330, Ms F550
Aurora, CO 80045-7202
Phone (303) 724-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103002443 CO Practitioner - Clinical Psychologist 9436371655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0004095COMDClinical Psychologist
24591CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Oct 1, 2014 Accepting new patients
University Physicians Incorporated CurrentSince Oct 1, 2014 Accepting new patients
University Physicians Incorporated Psychologist PastSince Dec 1, 2020 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13199 E Montview Blvd
Ste 330
Aurora, CO 80045
Phone (303) 724-3300

1890 N Revere Ct
Ste 5240
Aurora, CO 80045
Phone (303) 724-3300

Dept 1061
Denver, CO 80256

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1790114411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13199 E MONTVIEW BLVD",
            "address_2": "SUITE 330, MS F550",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457202",
            "telephone_number": "303-724-3300",
            "fax_number": "303-724-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13199 E MONTVIEW BLVD",
            "address_2": "SUITE 330, MS F550",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457202",
            "telephone_number": "303-724-3300",
            "fax_number": "303-724-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDTMANN",
        "first_name": "DANA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24591",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.