Active NPI
Henrietta Mary Pazos, PSYD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1962447797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000212 | CO | Practitioner - Clinical Psychologist | 7517960560 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0310366 | CO | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons/Nuevos Horizontes | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1588056006
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.