Active NPI
Kathryn J Dunham Coughlin, PSYD
- Psychologist
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY.0004446
- Practice address
- 11750 W 2ND PL
Lakewood, CO 80228-1575 - Phone
- (720) 321-8040
- Fax
- (720) 321-8041
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4446 | CO | |
| Psychologist | 103T00000X | PSY.0004446 | CO | Primary |
Addresses
Primary practice location
11750 W 2ND PL
Lakewood, CO 80228-1575
Mailing address
11750 W 2ND PL
Lakewood, CO 80228-1575
Phone (720) 321-8040
Other practice location 1
4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6500
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797
7780 S Broadway
Littleton, CO 80122-2633
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4446 | CO | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Dunham Neuropsychological Services, LLC | Current | Accepting new patients |
Locations
11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600
7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1578042602
-
- Orthopaedic Surgery Physician
- Lone Tree, CO
- NPI 1114513769
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1972861532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281575",
"telephone_number": "720-321-8040",
"fax_number": "720-321-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281575",
"telephone_number": "720-321-8040",
"fax_number": "720-321-8041"
}
],
"practiceLocations": [
{
"address_1": "4141 E Dickenson Pl",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80222",
"country_code": "US",
"telephone_number": "303-504-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNHAM COUGHLIN",
"first_name": "KATHRYN",
"middle_name": "J",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "4446",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0004446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.