Individual provider Active NPI

Henrietta Mary Pazos, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1962447797
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2751 Issued in CO
Practice address
2755 S Locust St Ste 216
Denver, CO 80222-7132
Phone
(303) 513-1408
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0310366 CO
Clinical Psychologist 103TC0700X 2751 CO Primary

Addresses

Primary practice location

2755 S Locust St Ste 216
Denver, CO 80222-7132

Mailing address

11515 E Amherst Cir N
Aurora, CO 80014-3046
Phone (303) 513-1408

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
I20060814000212 CO Practitioner - Clinical Psychologist 7517960560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0310366COMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons/Nuevos Horizontes Clinical CurrentSince Oct 1, 2018 Accepting new patients

Locations

3443 S Galena St
Ste 390
Denver, CO 80231

2755 S Locust St
Ste 216
Denver, CO 80222
Phone (303) 513-1408

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1962447797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 E AMHERST CIR N",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143046",
            "telephone_number": "303-513-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S LOCUST ST STE 216",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227132",
            "telephone_number": "303-513-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "HENRIETTA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "0310366",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.