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YOUR PEDIATRIC PSYCHOLOGIST, LLC
NPI 1407461189
Psychologist - Health in Denver, CO

Active since September 10, 2020
1700 E 17TH AVE, DENVER, CO 80218(720) 515-2535 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Sep 10, 2020 (2 updates tracked since 2020).

About Your Pediatric Psychologist, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR PEDIATRIC PSYCHOLOGIST, LLC (NPI 1407461189) is a healthcare organization registered as a health in Denver, Colorado and active in the NPI registry since September 2020. The organization lists Jinsoon Lee, Pediatric Health Psychologist, as its authorized official.

NPPES Registry Identity

NPI1407461189
Entity TypeOrganization
Primary Taxonomy103TH0004X
Legal Business NameYOUR PEDIATRIC PSYCHOLOGIST, LLC
Location Address1700 E 17TH AVEDenver, CO 80218-1668
Mailing Address6140 S Gun Club Rd # K6-353Aurora, CO 80016-5306 · (310) 876-4419
Phone(720) 515-2535
Organization SubpartNo
Authorized OfficialJinsoon LeePediatric Health Psychologist · (720) 515-2535
Enumeration DateSeptember 10, 2020
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1407461189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1700 E 17TH AVE, Denver, CO 80218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Your Pediatric Psychologist, LLC's NPI number?

The NPI number for Your Pediatric Psychologist, LLC is 1407461189. It was assigned to this organization in the NPPES registry on September 10, 2020.

Where is Your Pediatric Psychologist, LLC located?

Your Pediatric Psychologist, LLC is located at 1700 E 17th Ave, Denver, CO 80218. The listed phone number is (720) 515-2535.

What is Your Pediatric Psychologist, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

When was this NPI record last updated?

The NPPES record for Your Pediatric Psychologist, LLC was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.