| Brain Space Llc | |
|
4045 Pecos St Ste 150 Denver CO 80211-2561 | |
| (720) 907-0420 | |
| Not Available |
| Full Name | Brain Space Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4045 Pecos St Ste 150, Denver, Colorado |
| Authorized Official Name and Position | Jennifer Medina (OWNER) |
| Authorized Official Contact | 7202950357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Space Llc 4045 Pecos St Ste 150 Denver CO 80211-2561 Ph: (720) 295-0357 | Brain Space Llc 4045 Pecos St Ste 150 Denver CO 80211-2561 Ph: (720) 907-0420 |
| NPI Number | 1093530479 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 4183159924 |
|---|---|
| Medicare Enrollment ID | O20241203001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093530479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Elaine Medina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144513821 PECOS PAC ID: 0143494658 Enrollment ID: I20150311002179 |
Unlimited Potential Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4610 S Ulster St, Ste 150, Denver, CO 80237 Phone: 303-290-7407 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Bonnie Brae Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 S Lincoln St, Denver, CO 80210 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 |