Organization Active NPI

Schrader Psychology, LLC

  • Psychologist
  • Commerce City, CO
National Provider Identifier
1962256149
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SCHRADER PSYCHOLOGY, LLC
Practice address
11488 Jamaica St
Commerce City, CO 80640-7684
Phone
(720) 771-2397
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Kristin Schrader, PHD, NCSP, LP
Title
Licensed Psychologist
Phone
(720) 771-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11488 Jamaica St
Commerce City, CO 80640-7684

Mailing address

11488 Jamaica St
Commerce City, CO 80640-7684
Phone (720) 771-2397

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1962256149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11488 JAMAICA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "806407684",
            "telephone_number": "720-771-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11488 JAMAICA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "806407684",
            "telephone_number": "720-771-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRADER PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-771-2397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NCSP, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.