Individual provider Active NPI

Marilyn Duman, PSYD

  • Psychologist
  • Denver, CO
National Provider Identifier
1902989882
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1785 Issued in CO
Practice address
5595 E Custer PL
Denver, CO 80246-1440
Phone
(303) 370-6639
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1785 CO Primary

Addresses

Primary practice location

5595 E Custer PL
Denver, CO 80246-1440

Mailing address

5595 E Custer PL
Denver, CO 80246-1440
Phone (303) 370-6639

Other identifiers 1

IdentifierTypeStateIssuer
07107113MedicaidCO

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
I20100126000238 CO Practitioner - Clinical Psychologist 2163564386 Practice locations: Aurora, CO; Denver, CO

Care Compare profile

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

Practice addresses (Care Compare)

5595 E Custer PL
Denver, CO 80246-1440
Phone (303) 370-6639

5595 E Custer Place
Denver, CO 80246-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902989882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 E CUSTER PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461440",
            "telephone_number": "303-370-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 E CUSTER PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461440",
            "telephone_number": "303-370-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAN",
        "first_name": "MARILYN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07107113",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.