Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mycelium Psychology PLLC

Organization Clinical Psychologist · NPI 1649180142

Mycelium Psychology PLLC provides Clinical Psychologist services in Littleton, Colorado. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5575 S Sycamore St Ste 200
Littleton, CO 80120-1146
Phone: (406) 540-5950
Fax: (406) 316-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1649180142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Fister — Owner · (406) 540-5950
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address5575 S Sycamore St Ste 200, Littleton, CO 80120-1146

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