Individual provider Active NPI

Adam Altschuh, PSY.D.

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1962947168
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4553 Issued in CO
Practice address
33A Harvard St
Brookline, MA 02445-7989
Phone
(720) 515-9427
NPI assigned
Dec 23, 2016
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10988 MA
Adult Development & Aging Psychologist 103TA0700X 4553 CO
Clinical Psychologist 103TC0700X 4553 CO Primary
Health Psychologist 103TH0004X 4553 CO

Addresses

Primary practice location

33A Harvard St
Brookline, MA 02445-7989

Mailing address

1221 S Clarkson St
#302
Denver, CO 80210-1625
Phone (720) 515-9427

Other practice location 1

1221 S Clarkson St
#302
Denver, CO 80210-1625
Phone (720) 515-9427

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

LicenseStateTypeSpecialty
10988MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1962947168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S CLARKSON ST",
            "address_2": "#302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101625",
            "telephone_number": "720-515-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33A HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457989",
            "telephone_number": "720-515-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Clarkson St",
            "address_2": "#302",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101625",
            "country_code": "US",
            "telephone_number": "720-515-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTSCHUH",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-23",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10988",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CO",
            "license": "4553",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4553",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "4553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.