Healthcare Provider Details

I. General information

NPI: 1922032465
Provider Name (Legal Business Name): MICHAEL KARSON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 S VINE ST DU-GSPP
DENVER CO
80208-0001
US

IV. Provider business mailing address

2460 S VINE ST DU-GSPP
DENVER CO
80208-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-871-3881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2705
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2705
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: