Active NPI
Lawrence M Denmark, EDD
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1912914458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 697
- Practice address
- 503 Remington St
Suite 210
Fort Collins, CO 80524 - Phone
- (970) 218-6778
- Fax
- (970) 493-5131
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 697 | CO | Primary |
Addresses
Primary practice location
503 Remington St
Suite 210
Fort Collins, CO 80524
Mailing address
503 Remington St
Suite 210
Fort Collins, CO 80524
Phone (970) 218-6778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 697 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Depression & Bipolar Clinic of Colorado, PLLC. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Fort Collins, CO
- NPI 1144465642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912914458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 REMINGTON ST",
"address_2": "SUITE 210",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80524",
"telephone_number": "970-218-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 REMINGTON ST",
"address_2": "SUITE 210",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80524",
"telephone_number": "970-218-6778",
"fax_number": "970-493-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENMARK",
"first_name": "LAWRENCE",
"middle_name": "M",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.