Colorado Clinical and Forensic Psychology, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3313 Issued in CO

Legal business name

COLORADO CLINICAL AND FORENSIC PSYCHOLOGY, P.C.

Practice address

1884 Gaylord St
Denver, CO 80206-1211

Phone

(860) 810-5817

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By 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

Dr. Nicole S Kitei, PH.D.

Title

President

Phone

(860) 810-5817

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1912231374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061211",
            "telephone_number": "860-810-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CLINICAL AND FORENSIC PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "KITEI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-810-5817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3313",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "3313",
            "primary": false
        }
    ],
    "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 Oct 1, 2009; 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.