Active NPI
Nanci Avitable, PH.D.
- School Psychologist
- Denver, CO
National Provider Identifier
1801353123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 239178
- Practice address
- 7535 E Hampden Ave Ste 400
Denver, CO 80231-4844 - Phone
- (720) 353-1004
- Fax
- (303) 751-1764
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | NLC0008680 | CO | |
| School Psychologist | 103TS0200X | 239178 | CO | Primary |
Addresses
Primary practice location
7535 E Hampden Ave Ste 400
Denver, CO 80231-4844
Mailing address
2833 S Wabash Cir
Denver, CO 80231-4224
Phone (720) 353-1004
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0008680 | CO | MD | Psychologist |
| 239178 | CO | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1801353123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2833 S WABASH CIR",
"city": "DENVER",
"state": "CO",
"postal_code": "802314224",
"telephone_number": "720-353-1004",
"fax_number": "303-751-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 E HAMPDEN AVE STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802314844",
"telephone_number": "720-353-1004",
"fax_number": "303-751-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVITABLE",
"first_name": "NANCI",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "NLC0008680",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "239178",
"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 Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.