Healthcare Provider Details

I. General information

NPI: 1780601625
Provider Name (Legal Business Name): NOELLE P FELLMAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E ARAPAHOE RD STE 114
CENTENNIAL CO
80112-1261
US

IV. Provider business mailing address

PO BOX 440763
AURORA CO
80044-0763
US

V. Phone/Fax

Practice location:
  • Phone: 303-777-5536
  • Fax: 720-828-6868
Mailing address:
  • Phone: 303-777-5536
  • Fax: 720-828-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2965
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: