NPIMap

Organization Active NPI

Sadari Medical

  • Clinical Psychologist
  • Parker, CO
National Provider Identifier
1801355169
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SADARI MEDICAL
Practice address
9301 Las Ramblas CT Unit D
Parker, CO 80134-4227
Phone
(720) 828-7355
NPI assigned
Mar 17, 2019
Last updated
Mar 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Authorized official

Name
Kim Price
Title
President
Phone
(303) 953-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9301 Las Ramblas CT Unit D
Parker, CO 80134-4227

Mailing address

9301 Las Ramblas CT Unit D
Parker, CO 80134-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190517000614 CO Part B Supplier - Clinic/Group Practice 0547503302 Receives reassigned benefits from 13 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

6000 E Evans Ave
Ste 1-341
Denver, CO 80222
Phone (303) 946-5003

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552780800000",
    "number": "1801355169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 LAS RAMBLAS CT UNIT D",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 LAS RAMBLAS CT UNIT D",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344227",
            "telephone_number": "720-828-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADARI MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-03-17",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-953-8913"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.