Active NPI
West Side Behavioral Associates LLC
- Psychologist
- Greenwood Village, CO
National Provider Identifier
1790268019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- WEST SIDE BEHAVIORAL ASSOCIATES LLC
- Practice address
- 7935 E Prentice Ave Ste 104
Greenwood Village, CO 80111-2711 - Phone
- (201) 788-6619
- NPI assigned
- Sep 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Kathleen Pearson, PSYD, BCBA-D
- Title
- President
- Phone
- (201) 788-6619
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
7935 E Prentice Ave Ste 104
Greenwood Village, CO 80111-2711
Mailing address
223 S Lafayette St
Denver, CO 80209-2523
Phone (201) 788-6619
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536710400000",
"number": "1790268019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S LAFAYETTE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802092523",
"telephone_number": "201-788-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7935 E PRENTICE AVE STE 104",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112711",
"telephone_number": "201-788-6619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SIDE BEHAVIORAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-788-6619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD, BCBA-D"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.