Organization Active NPI

Dandelion Psychology, LLC

  • Clinical Psychologist
  • Arvada, CO
National Provider Identifier
1891148458
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4004 Issued in CO
Legal business name
DANDELION PSYCHOLOGY, LLC
Practice address
7850 Vance Dr Ste 185
Arvada, CO 80003-2127
Phone
(303) 704-3612
Fax
(512) 597-2829
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Beth Renae Peters, PHD
Title
Founder and Psychologist
Phone
(303) 704-3612

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 4004 CO Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 4004 CO
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 4004 CO
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 09923708 CO

Addresses

Primary practice location

7850 Vance Dr Ste 185
Arvada, CO 80003-2127

Mailing address

9930 W 105TH Ave
Westminster, CO 80021-7324
Phone (303) 704-3612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1891148458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 W 105TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800217324",
            "telephone_number": "303-704-3612",
            "fax_number": "512-597-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 185",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032127",
            "telephone_number": "303-704-3612",
            "fax_number": "512-597-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "FOUNDER AND PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-704-3612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4004",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "4004",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "CO",
            "license": "4004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.