Psychognosis, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1457 Issued in CO

Legal business name

PSYCHOGNOSIS, LLC

Practice address

8670 Wolff CT
Suite #130
Westminster, CO 80031-6956

Phone

(720) 272-9272

Fax

(720) 272-9272

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy P Crouch, PHD

Title

Secretary/President

Phone

(720) 272-9272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1851479091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 S VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106345",
            "telephone_number": "720-272-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WOLFF CT",
            "address_2": "SUITE #130",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316956",
            "telephone_number": "720-272-9272",
            "fax_number": "720-272-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOGNOSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY/PRESIDENT",
        "authorized_official_telephone_number": "720-272-9272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.