Individual provider Active NPI

Dana Allen Max, PSY.D.

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1851335517
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1925 Issued in CO
Practice address
5860 S Curtice St
Littleton, CO 80120-1909
Phone
(303) 347-8498
Fax
(303) 347-2011
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1925 CO Primary

Addresses

Primary practice location

5860 S Curtice St
Littleton, CO 80120-1909

Mailing address

5860 S Curtice St
Littleton, CO 80120-1909
Phone (303) 347-8498

Other identifiers 1

IdentifierTypeStateIssuer
07019250MedicaidCO

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
I20050523001175 CO Practitioner - Clinical Psychologist 4789626565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5860 S Curtice St
Littleton, CO 80120-1909
Phone (303) 347-8498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana a. Max, Psy.D., P.C. Clinical CurrentSince Jan 1, 2005 Accepting new patients

Locations

5860 S Curtice St
Littleton, CO 80120
Phone (303) 347-8498

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851335517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201909",
            "telephone_number": "303-347-8498",
            "fax_number": "303-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S CURTICE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201909",
            "telephone_number": "303-347-8498",
            "fax_number": "303-347-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "DANA",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07019250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.