Mile High Psychiatry Llc | |
14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 | |
(720) 507-4779 | |
(720) 367-5067 |
Full Name | Mile High Psychiatry Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 14221 E 4th Ave Ste 2-126, Aurora, Colorado |
Authorized Official Name and Position | Michael K Chism (OWNER) |
Authorized Official Contact | 7205074779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mile High Psychiatry Llc 15355 E Colfax Ave Unit 111717 Aurora CO 80042-1975 Ph: () - | Mile High Psychiatry Llc 14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 Ph: (720) 507-4779 |
NPI Number | 1760928766 |
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Provider Enumeration Date | 01/13/2017 |
Last Update Date | 09/03/2024 |
Certification Date | 09/03/2024 |
Medicare PECOS PAC ID | 9032459656 |
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Medicare Enrollment ID | O20190319000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760928766 | NPI | - | NPPES |
Provider Name | Michael Chism |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154780757 PECOS PAC ID: 0941540561 Enrollment ID: I20190403001734 |
Provider Name | Chidinma Enwere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659794535 PECOS PAC ID: 8921238320 Enrollment ID: I20210323000649 |
Provider Name | Letitia Osei Sam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346833852 PECOS PAC ID: 1254749294 Enrollment ID: I20210413000460 |
Provider Name | Erin Ann Lutchkus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669046363 PECOS PAC ID: 7719387281 Enrollment ID: I20210621002820 |
Provider Name | Colene E Marshall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417900507 PECOS PAC ID: 3678598257 Enrollment ID: I20210803000024 |
Provider Name | Pinkie Fitts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407256217 PECOS PAC ID: 1456641273 Enrollment ID: I20220311000156 |
Provider Name | Jayson Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134880859 PECOS PAC ID: 8729473541 Enrollment ID: I20220315000046 |
Provider Name | Lorraine Victorian Burks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033510979 PECOS PAC ID: 9537174701 Enrollment ID: I20220422000562 |
Provider Name | Joseph T Deak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740741727 PECOS PAC ID: 7416352133 Enrollment ID: I20220608002192 |
Provider Name | Margurite Isaac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336635598 PECOS PAC ID: 9032462205 Enrollment ID: I20220609001257 |
Provider Name | Michele Groetzinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255770970 PECOS PAC ID: 6709029697 Enrollment ID: I20220615003203 |
Provider Name | Olaf Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073178703 PECOS PAC ID: 2860729506 Enrollment ID: I20220915001195 |
Provider Name | Kwang Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093329021 PECOS PAC ID: 1557781135 Enrollment ID: I20221109003181 |
Provider Name | Graceann Ashley Pittari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902520307 PECOS PAC ID: 2365810322 Enrollment ID: I20221122002275 |
Provider Name | Prescott Martin Westly Coe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376274209 PECOS PAC ID: 0840663399 Enrollment ID: I20230302002183 |
Provider Name | Sidoine Michele Magakou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134841117 PECOS PAC ID: 6002284767 Enrollment ID: I20230731002365 |
Provider Name | Brittany Rideaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245799592 PECOS PAC ID: 0042673873 Enrollment ID: I20230828001457 |
Provider Name | Shari Lynn Pettit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790467942 PECOS PAC ID: 2769845379 Enrollment ID: I20230830001594 |
Provider Name | Amy L Card |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497488654 PECOS PAC ID: 6305227018 Enrollment ID: I20230905000680 |
Provider Name | Sarah Paryga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588163554 PECOS PAC ID: 1850746488 Enrollment ID: I20231017001075 |
Provider Name | Maryjane Guerrero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689254237 PECOS PAC ID: 2769891605 Enrollment ID: I20231027000045 |
Provider Name | Brennan Phillip David Lehotay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689121394 PECOS PAC ID: 1355715558 Enrollment ID: I20240221003144 |
Provider Name | Jeffrey Byrne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477314201 PECOS PAC ID: 3779928700 Enrollment ID: I20240229003364 |
Provider Name | Jannet Li Harkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010272 PECOS PAC ID: 9931511078 Enrollment ID: I20240304001507 |
Provider Name | Kristen Vianey Dale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20240315002258 |
Provider Name | Natasha Issa Deebes-howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639881261 PECOS PAC ID: 0143663351 Enrollment ID: I20240408001291 |
Provider Name | Catherine Onyeari Nwora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861022402 PECOS PAC ID: 5496163529 Enrollment ID: I20240411000664 |
Provider Name | Joycy Puthenpurackal Pranabdev |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194429829 PECOS PAC ID: 0446607873 Enrollment ID: I20240502001280 |
Provider Name | Angela Karmen Lang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972369262 PECOS PAC ID: 4183064215 Enrollment ID: I20240506003704 |
Provider Name | Amanda Jayaraman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568964997 PECOS PAC ID: 2365705969 Enrollment ID: I20240510000019 |
Provider Name | Manuel James Molina |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023462769 PECOS PAC ID: 6608318225 Enrollment ID: I20240610003859 |
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