Radiant Psychotherapy, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

899 Issued in CO

Legal business name

RADIANT PSYCHOTHERAPY, LLC

Practice address

190 E 9TH Ave Ste 190
Denver, CO 80203-2744

Phone

(303) 859-7630

Fax

(720) 398-3263

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Perri A Corvino, LSW, MA, CAC I

Title

Lead Psychotherapist

Phone

(303) 859-7630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1871846568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E 9TH AVE STE 190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032744",
            "telephone_number": "303-859-7630",
            "fax_number": "720-398-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E 9TH AVE STE 190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032744",
            "telephone_number": "303-859-7630",
            "fax_number": "720-398-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "CORVINO",
        "authorized_official_first_name": "PERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LEAD PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "303-859-7630",
        "authorized_official_credential": "LSW, MA, CAC I"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CO",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.