NPIMap

Organization Active NPI

Colorado Seminary

Doing business as University of Denver-Counseling and Educational Services Clinic

  • Psychologist
  • Denver, CO
National Provider Identifier
1912464777
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
COLORADO SEMINARY
Doing business as
University of Denver-Counseling and Educational Services Clinic
Practice address
1999 E. Evans Avenue
Attn: Andi Pusavat, KRH RM. 145
Denver, CO 80208
Phone
(303) 871-3230
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO SEMINARYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Andrea Pusavat, PHDNPI 1801395488
Title
Clinic Director
Phone
(303) 871-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1999 E. Evans Avenue
Attn: Andi Pusavat, KRH RM. 145
Denver, CO 80208

Mailing address

1999 E. Evans Avenue
Attn: Andi Pusavat, KRH RM. 145
Denver, CO 80208
Phone (303) 871-3230

Other names 1

  • University of Denver-Counseling and Educational Services Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Seminary2 organizations share this tax ID, including this one
Part of
Colorado Seminary

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1999 E Evans Ave
Rm 145
Denver, CO 80210
Phone (303) 871-3230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1912464777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 E. EVANS AVENUE",
            "address_2": "ATTN: ANDI PUSAVAT, KRH RM. 145",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80208",
            "telephone_number": "303-871-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 E. EVANS AVENUE",
            "address_2": "ATTN: ANDI PUSAVAT, KRH RM. 145",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80208",
            "telephone_number": "303-871-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SEMINARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO SEMINARY",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "PUSAVAT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "303-871-3230",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Denver-Counseling and Educational Services Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.