NPIMap

Individual provider Active NPI

Edward S. Marshall, PSY.D.

  • Clinical Psychologist
  • Thornton, CO
National Provider Identifier
1982822581
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2487 Issued in CO
Practice address
8515 Pearl St Ste 204
Thornton, CO 80229-4809
Phone
(303) 587-8767
Fax
(303) 781-7721
NPI assigned
Apr 22, 2007
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2487 CO
Cognitive & Behavioral Psychologist 103TB0200X 2487 CO
Clinical Psychologist 103TC0700X 2487 CO Primary
Family Psychologist 103TF0000X 2487 CO
Forensic Psychologist 103TF0200X 2487 CO
Group Psychotherapy Psychologist 103TP2701X 2487 CO
Rehabilitation Psychologist 103TR0400X 2487 CO

Addresses

Primary practice location

8515 Pearl St Ste 204
Thornton, CO 80229-4809

Mailing address

8515 Pearl St Ste 204
Thornton, CO 80229-4809
Phone (303) 587-8767

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2487COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
George V Rossie Past Accepting new patients
Senior Connections of Texas, PLLC Clinical Past Accepting new patients
Boulder Alcohol Education Center Inc PastSince Jan 19, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1982822581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST STE 204",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294809",
            "telephone_number": "303-587-8767",
            "fax_number": "720-523-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 PEARL ST STE 204",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294809",
            "telephone_number": "303-587-8767",
            "fax_number": "303-781-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "EDWARD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2487",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "2487",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2487",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CO",
            "license": "2487",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "2487",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CO",
            "license": "2487",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CO",
            "license": "2487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.